Organization
SIMHAPURI P.C
Active
Other names
MOLAR BEAR PEDIATRIC DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
MITHYA NEMAKAL DDS (PEDIATRIC DENTIST AND OWNER)
(678) 315-7977
Entity
Organization
Contact information
Practice address
195 NORTH PARK TRAIL, UNIT 200A, STOCKBRIDGE, GA 30281
(470) 713-7077
Mailing address
310 COALTER WAY, DECATUR, GA 30030-3321
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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