Individual
DR. BAWANI DAS VISHNU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
4256 BILTMORE PL NE, MARIETTA, GA 30062-9911
(334) 430-5397
Mailing address
4256 BILTMORE PL NE, MARIETTA, GA 30062-9911
(334) 430-5397
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011728
GA
Other
Enumeration date
12/16/2006
Last updated
08/20/2024
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