| Krishiva Smiles, Llc | |
|
331 Arcado Rd Nw Suite D Lilburn GA 30047-3077 | |
| (770) 557-0788 | |
| (404) 393-7893 |
| Full Name | Krishiva Smiles, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 331 Arcado Rd Nw, Lilburn, Georgia |
| Authorized Official Name and Position | Jalpa Dave (OWNER) |
| Authorized Official Contact | 7705570788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krishiva Smiles, Llc 331 Arcado Rd Nw Suite D Lilburn GA 30047-3077 Ph: (770) 557-0788 | Krishiva Smiles, Llc 331 Arcado Rd Nw Suite D Lilburn GA 30047-3077 Ph: (770) 557-0788 |
| NPI Number | 1417497678 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 03/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417497678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN013579 (Georgia) | Primary |
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