Individual
KEZIA VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
890 DAWSONVILLE HWY STE F, GAINESVILLE, GA 30501-2607
(943) 473-3854
Mailing address
1306 JEFFERSON CT, ALPHARETTA, GA 30005-3828
(770) 330-5334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123321
GA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
01/08/2024
Last updated
01/29/2024
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