Individual
PRIYA GULATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
350 TOWN CENTER AVE, SUITE 301, SUWANEE, GA 30024-6914
(678) 448-4121
Mailing address
350 TOWN CENTER AVE, SUITE 301, SUWANEE, GA 30024-6914
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8632
NC
1223P0221X
Pediatric Dentistry
8632
NC
1223P0221X
Pediatric Dentistry
Primary
DN015122
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1978
—
NC
Enumeration date
06/30/2008
Last updated
04/22/2016
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