| L R Smiles Of Marietta, Llc | |
|
3698 Largent Way Suite 202 Marietta GA 30064 | |
| (770) 423-4900 | |
| Not Available |
| Full Name | L R Smiles Of Marietta, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3698 Largent Way Suite 202, Marietta, Georgia |
| Authorized Official Name and Position | Neralagadde S Prasad (MEMBER) |
| Authorized Official Contact | 7346447377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L R Smiles Of Marietta, Llc 3698 Largent Way Suite 202 Marietta GA 30064 Ph: (770) 423-4900 | L R Smiles Of Marietta, Llc 3698 Largent Way Suite 202 Marietta GA 30064 Ph: (770) 423-4900 |
| NPI Number | 1003679739 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003679739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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