Organization
GEORGIA DENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUPREET KAUR DDS (OWNER DENTIST)
(814) 881-3180
Entity
Organization
Contact information
Practice address
3535 ROSWELL RD STE 22, MARIETTA, GA 30062-6252
(770) 973-0141
Mailing address
3535 ROSWELL RD STE 22, MARIETTA, GA 30062-6252
(814) 881-3180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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