| Psa Dds Llc | |
|
2655 Dallas Hwy Sw Ste 530 Marietta GA 30064-7520 | |
| (770) 422-8776 | |
| Not Available |
| Full Name | Psa Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 2655 Dallas Hwy Sw Ste 530, Marietta, Georgia |
| Authorized Official Name and Position | Sanil Patel (OWNER) |
| Authorized Official Contact | 7704228776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psa Dds Llc 2655 Dallas Hwy Sw Ste 530 Marietta GA 30064-7520 Ph: (770) 422-8776 | Psa Dds Llc 2655 Dallas Hwy Sw Ste 530 Marietta GA 30064-7520 Ph: (770) 422-8776 |
| NPI Number | 1912744285 |
|---|---|
| Provider Enumeration Date | 07/12/2024 |
| Last Update Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912744285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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