Individual
SHIVEN GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2176 OAK RD, SNELLVILLE, GA 30078-2374
(770) 985-9559
Mailing address
2176 OAK RD, SNELLVILLE, GA 30078-2374
(770) 985-9559
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014725
GA
Other
Enumeration date
04/03/2013
Last updated
09/22/2015
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