Organization
SMILES ON PEACHTREE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETANKUMAR G PATEL DMD (PRESIDENT)
(404) 841-8668
Entity
Organization
Contact information
Practice address
3255 PEACHTREE RD NE STE 4, ATLANTA, GA 30305-2416
(404) 841-8668
Mailing address
3255 PEACHTREE RD NE STE 4, ATLANTA, GA 30305-2416
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012835
GA
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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