Organization
GEORGIA DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANKET KARMARKAR DMD (ORGANIZER AND REGISTERED AGENT)
(201) 356-7689
Entity
Organization
Contact information
Practice address
3100 FIVE FORKS TRICKUM ROAD SUITE 201, LILBURN, GA 30047
(770) 978-3292
Mailing address
3100 FIVE FORKS TRICKUM ROAD SUITE 201, LILBURN, GA 30047
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
GA
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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