Organization
EAST ATLANTA DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHISH PRAVIN VAKHARIA DMD (DENTIST/PARTNER)
(412) 716-7907
Entity
Organization
Contact information
Practice address
3162 ELM ST NE, COVINGTON, GA 30014-2461
(678) 625-5057
Mailing address
3162 ELM ST NE, COVINGTON, GA 30014-2461
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013218
GA
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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