Individual
ANISHA NATHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2566 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-2537
(678) 714-2380
Mailing address
2566 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-2537
(678) 714-2380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015250
GA
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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