Organization
DALLAS DENTAL SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVEEN REDDY GUDIPATI (OWNER DENTIST)
(770) 205-0466
Entity
Organization
Contact information
Practice address
455 NATHAN DEAN BLVD STE 109, DALLAS, GA 30132-4921
(678) 674-7176
Mailing address
455 NATHAN DEAN BLVD STE 109, DALLAS, GA 30132-4921
(678) 674-7176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DNO13554
GA
Other
Enumeration date
11/09/2017
Last updated
05/12/2025
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