Organization
ROSWELL DENTAL SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARANYADEVI SAKTHIVADIVEL DMD (GENERAL DENTIST)
(267) 283-8288
Entity
Organization
Contact information
Practice address
910 WOODSTOCK RD STE 110, ROSWELL, GA 30075-8217
(770) 518-7475
Mailing address
4362 EDNA LN NE, MARIETTA, GA 30062-0010
(267) 283-8288
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/29/2023
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