Organization
HIRAM DENTAL SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVEEN R GUDIPATI DMD (DENTIST OWNER)
(404) 966-7766
Entity
Organization
Contact information
Practice address
1899 LAKE RD STE 220, HIRAM, GA 30141-2293
(470) 666-2866
Mailing address
1899 LAKE RD STE 220, HIRAM, GA 30141-2293
(470) 666-2866
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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