Individual
DR. RICKY PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5041 DALLAS HWY BLDG 2, STE B (204), POWDER SPRINGS, GA 30127-3059
(229) 854-6095
Mailing address
7955 MAGNOLIA SQ, ATLANTA, GA 30350-4025
(229) 854-6095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN016035
GA
Other
Enumeration date
06/06/2020
Last updated
06/10/2024
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