Individual
MR. SRINIVAS CHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
38 JEFFERSON PKWY, NEWNAN, GA 30263-5812
(678) 836-2139
Mailing address
38 JEFFERSON PKWY, NEWNAN, GA 30263-5812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122192
GA
Other
Enumeration date
06/29/2007
Last updated
07/15/2021
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