Individual
DR. NIRALI PATEL PROCTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
205 WALESKA RD, SUITE 2B, CANTON, GA 30114-2493
(770) 479-1717
Mailing address
205 WALESKA RD, SUITE 2B, CANTON, GA 30114-2493
(770) 479-1717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4088
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4088
—
SC
Enumeration date
01/09/2006
Last updated
12/31/2013
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