Organization
NORTHSIDE COSMETIC AND DENTAL IMPLANT CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KISHAN DHANANI (OWNER)
(678) 944-9422
Entity
Organization
Contact information
Practice address
5555 PEACHTREE DUNWOODY RD STE 140, ATLANTA, GA 30342-5032
(678) 944-9422
Mailing address
5555 PEACHTREE DUNWOODY RD STE 140, ATLANTA, GA 30342-5032
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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