Organization
PSA DDS LLC
Active
Other names
PURE SMILES DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANIL PATEL DDS (OWNER)
(770) 422-8776
Entity
Organization
Contact information
Practice address
2655 DALLAS HWY SW STE 530, MARIETTA, GA 30064-7520
(770) 422-8776
Mailing address
2655 DALLAS HWY SW STE 530, MARIETTA, GA 30064-7520
(770) 422-8776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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