Individual
SHAMI GOKHALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4323 ATL HIGHWAY, LOGANVILLE, GA 30052
(678) 367-4615
Mailing address
2210 CEDAR PLACE CT, SNELLVILLE, GA 30078-3312
(408) 669-7959
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122835
GA
Other
Enumeration date
07/13/2022
Last updated
10/17/2023
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