| Southern Dental Snellville, Pc | |
|
1550 Janmar Rd Suite A Snellville GA 30078 | |
| (404) 429-5371 | |
| Not Available |
| Full Name | Southern Dental Snellville, Pc |
|---|---|
| Speciality | Dentist |
| Location | 1550 Janmar Rd, Snellville, Georgia |
| Authorized Official Name and Position | Krishna Patel (DENTIST) |
| Authorized Official Contact | 4044295371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Dental Snellville, Pc 225 Eagles Landing Way Mcdonough GA 30253-4221 Ph: () - | Southern Dental Snellville, Pc 1550 Janmar Rd Suite A Snellville GA 30078 Ph: (404) 429-5371 |
| NPI Number | 1902338825 |
|---|---|
| Provider Enumeration Date | 03/30/2017 |
| Last Update Date | 03/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902338825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN014512 (Georgia) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | DN014512 (Georgia) | Secondary |
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