Organization
VALUE SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEEN GUDIPATI DMD (PARTNER)
(404) 966-7766
Entity
Organization
Contact information
Practice address
2635 LEE RD, SUITE C4, LITHIA SPRINGS, GA 30122-3356
(770) 489-9141
Mailing address
2635 LEE RD, SUITE C4, LITHIA SPRINGS, GA 30122-3356
(770) 489-9141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013554
GA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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