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Individual

MRS. PRITI SHAH BLOOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2500 HOSPITAL BOULEVARD, SUITE 320, ROSWELL, GA 30076
(770) 663-4435
(770) 663-0489
Mailing address
2500 HOSPITAL BOULEVARD, SUITE 320, ROSWELL, GA 30076
(770) 663-4435
(770) 663-0489

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
012161
GA
122300000X
Dentist
41038
CA

Other

Enumeration date
04/16/2007
Last updated
07/08/2007
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