Individual
DR. DIVYA REDDY RAINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4390 PLEASANT HILL RD, SUITE A, DULUTH, GA 30096-8054
(770) 622-9772
(770) 622-6446
Mailing address
4390 PLEASANT HILL RD, SUITE A, DULUTH, GA 30096-8054
(770) 622-9772
(770) 622-6446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011742
GA
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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