Organization
PS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANIL PATEL (DIRECTOR)
(404) 731-7522
Entity
Organization
Contact information
Practice address
2655 DALLAS HWY SW, 510, MARIETTA, GA 30064-2597
(404) 731-7522
Mailing address
2655 DALLAS HWY SW, 510, MARIETTA, GA 30064-2597
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014760
GA
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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