Individual
JALPA HARVADAN DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
805 GLYNN ST S, SUITE#131, FAYETTEVILLE, GA 30214-2000
(770) 460-6651
Mailing address
805 GLYNN ST S, SUITE#131, FAYETTEVILLE, GA 30214-2000
(770) 460-6651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013579
GA
Other
Enumeration date
06/25/2007
Last updated
05/08/2009
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