Individual
KOMAL BHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1741 NEWNAN CROSSING BLVD E STE M, NEWNAN, GA 30265-6600
(770) 251-2273
Mailing address
503 HUNTERIAN PL, NEWNAN, GA 30265-5677
(717) 424-7832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015119
GA
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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