Organization
RICKY PATEL DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY PATEL DMD (OWNER DENTIST)
(229) 854-6095
Entity
Organization
Contact information
Practice address
5041 DALLAS HWY, BLDG 2 STE B (204), POWDER SPRINGS, GA 30127
(770) 499-8717
Mailing address
7955 MAGNOLIA SQ, ATLANTA, GA 30350-4025
(229) 854-6095
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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