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Organization

DHARMESH PARBHOO P.C.

Active
Other names
LifeSmiles Of College park
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DHARMESH PARBHOO D.D.S. (OWNER)
(770) 997-9090
Entity
Organization

Contact information

Practice address
1177 GARDEN WALK BLVD, COLLEGE PARK, GA 30349-6245
(770) 997-9090
(770) 997-1387
Mailing address
1177 GARDEN WALK BLVD, COLLEGE PARK, GA 30349-6245
(770) 997-9090
(770) 997-1387

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
GA011258
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000905583D
GA
Enumeration date
11/20/2007
Last updated
11/20/2007
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