Individual
MIREDDY BENET-ROCKEFELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1631 GORDON HIGHWAY #22 A, SMALL SMILES OF AUGUSTA, P.C., AUGUSTA, GA 30906
(706) 790-9309
Mailing address
16 ARCADE UNIT 198747, NASHVILLE, TN 37219-1994
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013573
GA
Other
Enumeration date
06/20/2007
Last updated
02/11/2014
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