Individual
SARANYADEVI SAKTHIVADIVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
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
1223G0001X
General Practice Dentistry
Primary
DN015061
GA
Other
Enumeration date
07/29/2015
Last updated
05/16/2023
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