Organization
COMPREHENSIVE DENTAL CENTER
Active
Other names
Smiles on Main
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETANKUMAR G PATEL D.M.D. (DENTIST)
(678) 762-1613
Entity
Organization
Contact information
Practice address
342 N MAIN ST, SUITE 110, ALPHARETTA, GA 30004-8376
(678) 762-1613
(678) 762-1689
Mailing address
342 N MAIN ST, SUITE 110, ALPHARETTA, GA 30004-8376
(678) 762-1613
(678) 762-1689
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN007359
GA
122300000X
Dentist
DN008017
GA
122300000X
Dentist
Primary
DN012835
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500129458B
—
GA
Enumeration date
03/27/2007
Last updated
11/13/2014
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