Organization
ANSANA I LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANSANA SHRESTHA (OWNER)
(706) 509-2014
Entity
Organization
Contact information
Practice address
136 SHORTER AVE NW, ROME, GA 30165-2455
(706) 509-2014
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
06/20/2023
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