Individual
SADJA GAUD-QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4373 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2629
(678) 942-6085
Mailing address
3469 FENTON DR SE, SMYRNA, GA 30080-2392
(787) 344-1946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014695
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2012
Last updated
07/21/2022
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