Individual
DR. SRUTHI SATISHCHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
200 E PONCE DE LEON AVE STE 250, DECATUR, GA 30030-3472
(770) 589-1440
(770) 800-7823
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN122574
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2018
Last updated
08/15/2023
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