Individual
TEJAL ASHOK KAKADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
406 DIXIE ST, CARROLLTON, GA 30117-3922
(678) 234-9466
Mailing address
115 W LAKE DR, CARROLLTON, GA 30117-8231
(678) 234-9466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014147
GA
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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