Individual
RAVINA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 LOGANVILLE HWY STE 100, BETHLEHEM, GA 30620-2164
(470) 499-2612
Mailing address
920 LOGANVILLE HWY STE 100, BETHLEHEM, GA 30620-2164
(470) 499-2612
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN016134
GA
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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