Individual
PUSHPA SUNDARESWARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD MDS
Contact information
Practice address
2880 OLD ALABAMA RD, SUITE 400, ALPHARETTA, GA 30022
(678) 240-2777
(678) 240-2782
Mailing address
12905 MORNINGPARK CIR, ALPHARETTA, GA 30004-7330
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012634
GA
Other
Enumeration date
02/01/2007
Last updated
08/15/2014
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