Organization
PROUD SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADHA J PATEL DMD (MANAGER)
(404) 257-0091
Entity
Organization
Contact information
Practice address
5290 ROSWELL RD STE A130, ATLANTA, GA 30342-1978
(404) 257-0091
Mailing address
5290 ROSWELL RD STE A130, ATLANTA, GA 30342-1978
(404) 257-0091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/15/2023
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