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Individual

BHAVANA VENUGOPALAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
3384 COBB PKWY NW STE 130, ACWORTH, GA 30101-8784
(678) 574-8622
Mailing address
3483 WINTER CHASE DR, MARIETTA, GA 30062-1221
(305) 877-6352

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123862
GA

Other

Enumeration date
07/19/2025
Last updated
07/19/2025
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