Individual
JYOTI NILESH PRAJAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3999 AUSTELL RD STE 211, AUSTELL, GA 30106-1144
(700) 732-3364
Mailing address
565 BELLEMEADE DR SW, MARIETTA, GA 30008-3736
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123473
GA
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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