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Individual

DR. KHYATI DHIREN SHAHPATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
876 BUFORD RD, CUMMING, GA 30041-2716
(216) 280-8556
Mailing address
876 BUFORD RD, CUMMING, GA 30041-2716
(216) 280-8556

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
30-022745
OH
122300000X
Dentist
Primary
DN014994
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1326202979
GEORGIA
Enumeration date
07/14/2008
Last updated
07/21/2022
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