| Hiram Dental Smiles | |
|
1899 Lake Rd Ste 220 Hiram GA 30141-2293 | |
| (470) 666-2866 | |
| Not Available |
| Full Name | Hiram Dental Smiles |
|---|---|
| Speciality | Dentist |
| Location | 1899 Lake Rd Ste 220, Hiram, Georgia |
| Authorized Official Name and Position | Praveen R Gudipati (DENTIST OWNER) |
| Authorized Official Contact | 4049667766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hiram Dental Smiles 1899 Lake Rd Ste 220 Hiram GA 30141-2293 Ph: (470) 666-2866 | Hiram Dental Smiles 1899 Lake Rd Ste 220 Hiram GA 30141-2293 Ph: (470) 666-2866 |
| NPI Number | 1265119192 |
|---|---|
| Provider Enumeration Date | 07/03/2023 |
| Last Update Date | 07/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265119192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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