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Individual

EKTA EKANATH PARAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
912 KILLIAN HILL ROAD SOUTHWEST, SUITE 100, LILBURN, GA 30047
(770) 923-3966
(770) 564-8617
Mailing address
912 KILLIAN HILL ROAD SOUTHWEST, SUITE 100, LILBURN, GA 30047
(770) 923-3966
(770) 564-8617

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123103
GA

Other

Enumeration date
08/16/2023
Last updated
08/16/2023
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