Organization
AMISH PATEL DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMISH PATEL DMD (OWNER)
(404) 579-0740
Entity
Organization
Contact information
Practice address
200 MEDICAL WAY, STOCKBRIDGE, GA 30281
(770) 389-0389
Mailing address
1840 WALNUT GROVE LN, TUCKER, GA 30084-5945
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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