Individual
ASHVI MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4013 WINDER HWY, FLOWERY BRANCH, GA 30542-3022
(678) 696-2200
Mailing address
4507 QUAILWOOD DR, FLOWERY BRANCH, GA 30542-3559
(678) 315-2844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN015680
GA
1223P0221X
Pediatric Dentistry
Primary
DN015680
GA
Other
Enumeration date
06/15/2018
Last updated
07/13/2023
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