Organization
ACWORTH DENTAL LLC
Active
Other names
Dental Care Acworth
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI PATEL DMD (OWNER)
(317) 364-3740
Entity
Organization
Contact information
Practice address
5552 ROBIN RD STE A, ACWORTH, GA 30102-1914
(678) 888-1554
Mailing address
4700 NELSON BROGDON BLVD STE 210, BUFORD, GA 30518-5401
(317) 364-3740
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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