Individual
DR. HETESH MADEV RANCHOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
683 PIEDMONT RD NE, MARIETTA, GA 30066-4811
(770) 794-0808
Mailing address
683 PIEDMONT RD NE, MARIETTA, GA 30066-4811
(770) 794-0808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011401
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000683229B
—
GA
Enumeration date
01/24/2007
Last updated
01/18/2020
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