Individual
SRUJANA BADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
656 INDIAN TRL RD NW STE 206, LILBURN, GA 30047-6872
(770) 806-9090
Mailing address
1300 PEACHTREE INDUSTRIAL BLVD STE 2203, SUWANEE, GA 30024-4552
(470) 508-0053
(470) 508-0053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DNO14858
GA
Other
Enumeration date
08/19/2014
Last updated
03/31/2023
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