Individual
DR. ASHISH KUKREJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
570 W LANIER AVE, FAYETTEVILLE, GA 30214-7649
(678) 836-2128
(770) 441-0299
Mailing address
451 HAROLD AVE NE, ATLANTA, GA 30307-1739
(504) 914-8748
(770) 441-0299
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN013129
GA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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