| Ansana I LLC | |
|
136 Shorter Ave Nw Rome GA 30165-2455 | |
| (706) 509-2014 | |
| Not Available |
| Full Name | Ansana I LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 136 Shorter Ave Nw, Rome, Georgia |
| Authorized Official Name and Position | Ansana Shrestha (OWNER) |
| Authorized Official Contact | 7065092014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ansana I LLC Po Box 70887 Cleveland OH 44190-0887 | Ansana I LLC 136 Shorter Ave Nw Rome GA 30165-2455 Ph: (706) 509-2014 |
| NPI Number | 1437661253 |
|---|---|
| Provider Enumeration Date | 11/02/2017 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437661253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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