Organization
MAHIMA DENTAL LLC
Active
Other names
Aesthetic Restorative Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KETAN GINOYA (OWNER)
(617) 510-7053
Entity
Organization
Contact information
Practice address
5000 SHAKERAG HL, PEACHTREE CITY, GA 30269-3367
(770) 631-0044
Mailing address
5000 SHAKERAG HL, PEACHTREE CITY, GA 30269-3367
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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