Organization
DULUTH DENTAL SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEEN R GUDIPATI DMD (DENTIST OWNER)
(404) 966-7766
Entity
Organization
Contact information
Practice address
6601 SUGARLOAF PKWY STE 250, DULUTH, GA 30097-4936
(404) 966-7766
Mailing address
6601 SUGARLOAF PKWY STE 250, DULUTH, GA 30097-4936
(404) 966-7766
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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