Individual
NAMRATHA ARVIND HEGDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
820 CANTON RD NE APT 419, MARIETTA, GA 30060-7265
(920) 378-8791
Mailing address
820 CANTON RD NE APT 419, MARIETTA, GA 30060-7265
(920) 378-8791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122474
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2021
Last updated
08/23/2021
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