Individual
DR. JYOTI DESH SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1240 BUFORD RD, SUITE 150, CUMMING, GA 30041-2731
(404) 433-1317
(770) 781-0204
Mailing address
5140 BEECHAM CT, SUWANEE, GA 30024-3390
(404) 433-1317
(770) 781-0204
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012806
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
437813642M
—
GA
Enumeration date
11/01/2006
Last updated
01/25/2012
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