| Simhapuri P.c | |
|
195 North Park Trail, Unit 200a Stockbridge GA 30281 | |
| (470) 713-7077 | |
| Not Available |
| Full Name | Simhapuri P.c |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 195 North Park Trail, Unit 200a, Stockbridge, Georgia |
| Authorized Official Name and Position | Mithya Nemakal (PEDIATRIC DENTIST AND OWNER) |
| Authorized Official Contact | 6783157977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simhapuri P.c 310 Coalter Way Decatur GA 30030-3321 Ph: () - | Simhapuri P.c 195 North Park Trail, Unit 200a Stockbridge GA 30281 Ph: (470) 713-7077 |
| NPI Number | 1417694217 |
|---|---|
| Provider Enumeration Date | 05/13/2022 |
| Last Update Date | 05/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417694217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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