Individual
DR. SHIV SHASHIKANT BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6115 PEACHTREE DUNWOODY RD STE 225, SANDY SPRINGS, GA 30328-5696
(770) 522-0099
Mailing address
3205 CUMBERLAND BLVD SE UNIT 539, ATLANTA, GA 30339-4394
(228) 547-4061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123461
GA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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