Organization
L R SMILES OF VINNINGS, LLC
Active
Other names
Jerry Richman, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
KOMAL BHAT DDS (OWNER DENTIST)
(717) 424-7832
Entity
Organization
Contact information
Practice address
4200 NORTHSIDE PKWY NW STE 200, ATLANTA, GA 30327-3007
(404) 841-9500
Mailing address
4200 NORTHSIDE PKWY NW STE 200, ATLANTA, GA 30327-3007
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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