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3475 Dallas Hwy Sw Suite No 310 Marietta GA 30064-6405 | |
| (770) 425-2001 | |
| (770) 425-8696 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3475 Dallas Hwy Sw, Marietta, Georgia |
| Authorized Official Name and Position | Dimple Patel (OWNER) |
| Authorized Official Contact | 7704252001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3475 Dallas Hwy Sw Ste 310 Marietta GA 30064-6413 Ph: (770) 425-2001 | 3475 Dallas Hwy Sw Suite No 310 Marietta GA 30064-6405 Ph: (770) 425-2001 |
| NPI Number | 1184369035 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 07/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184369035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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