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5455 Mcginnis Village Pl Suite 103 Alpharetta GA 30005 | |
| (770) 751-1500 | |
| (770) 751-1508 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 5455 Mcginnis Village Pl, Alpharetta, Georgia |
| Authorized Official Name and Position | Devang Shah (OWNER/DENTIST) |
| Authorized Official Contact | 7707511500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5455 Mcginnis Village Pl Suite 103 Alpharetta GA 30005 Ph: (770) 751-1500 | 5455 Mcginnis Village Pl Suite 103 Alpharetta GA 30005 Ph: (770) 751-1500 |
| NPI Number | 1033665732 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033665732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN013630 (Georgia) | Primary |
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