Organization
WHITE LIGHTNING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIREN PATEL (PRESIDENT)
(770) 938-1848
Entity
Organization
Contact information
Practice address
1462 MONTREAL RD, SUITE 211, TUCKER, GA 30084-6929
(770) 938-1848
Mailing address
1462 MONTREAL RD, SUITE 211, TUCKER, GA 30084-6929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013155
GA
Other
Enumeration date
04/17/2007
Last updated
01/28/2010
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