Individual
DR. SANDEEP V PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
745 OLD NORCROSS RD, LAWRENCEVILLE, GA 30045-4317
(770) 962-9515
(770) 962-2722
Mailing address
745 OLD NORCROSS RD, LAWRENCEVILLE, GA 30045-4317
(770) 962-9515
(770) 962-2722
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
057140
GA
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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