| PS DDS | |
|
2655 Dallas Hwy Sw 510 Marietta GA 30064-2597 | |
| (404) 731-7522 | |
| Not Available |
| Full Name | PS DDS |
|---|---|
| Speciality | Dentist |
| Location | 2655 Dallas Hwy Sw, Marietta, Georgia |
| Authorized Official Name and Position | Sanil Patel (DIRECTOR) |
| Authorized Official Contact | 4047317522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| PS DDS 2655 Dallas Hwy Sw 510 Marietta GA 30064-2597 | PS DDS 2655 Dallas Hwy Sw 510 Marietta GA 30064-2597 Ph: (404) 731-7522 |
| NPI Number | 1790219103 |
|---|---|
| Provider Enumeration Date | 04/13/2017 |
| Last Update Date | 04/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790219103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN014760 (Georgia) | Primary |
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