| Pavan Putra Sa | |
|
319 Redmond Rd Nw Rome GA 30165-1539 | |
| (706) 622-2985 | |
| Not Available |
| Full Name | Pavan Putra Sa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 319 Redmond Rd Nw, Rome, Georgia |
| Authorized Official Name and Position | Saahil Anil Patel (OWNER) |
| Authorized Official Contact | 7708150194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pavan Putra Sa 2788 Stone Hall Dr Marietta GA 30062-5061 Ph: (770) 815-0194 | Pavan Putra Sa 319 Redmond Rd Nw Rome GA 30165-1539 Ph: (706) 622-2985 |
| NPI Number | 1326936469 |
|---|---|
| Provider Enumeration Date | 06/26/2025 |
| Last Update Date | 06/26/2025 |
| Certification Date | 06/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326936469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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