Individual
KUNJAN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2230 TOWNE LAKE PKWY, BLDG 1300 SUITE 100, WOODSTOCK, GA 30189-5540
(678) 494-9889
Mailing address
3983 DEL RIO PL, MARTINEZ, GA 30907-3499
(706) 855-1176
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN014341
GA
Other
Enumeration date
08/29/2011
Last updated
08/24/2012
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