Organization
BETHELVIEW FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHALATHA KANCHARLA DDS (DDS/OWNER)
(484) 366-3775
Entity
Organization
Contact information
Practice address
6030 BETHELVIEW RD, UNIT 201, CUMMING, GA 30040
(470) 560-3989
Mailing address
6030 BETHELVIEW RD, UNIT 201, CUMMING, GA 30040
(470) 560-3989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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