| White Lightning PC | |
|
1462 Montreal Rd Suite 211 Tucker GA 30084-6929 | |
| (770) 938-1848 | |
| Not Available |
| Full Name | White Lightning PC |
|---|---|
| Speciality | Dentist |
| Location | 1462 Montreal Rd, Tucker, Georgia |
| Authorized Official Name and Position | Hiren Patel (PRESIDENT) |
| Authorized Official Contact | 7709381848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Lightning PC 1462 Montreal Rd Suite 211 Tucker GA 30084-6929 | White Lightning PC 1462 Montreal Rd Suite 211 Tucker GA 30084-6929 Ph: (770) 938-1848 |
| NPI Number | 1417173691 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 01/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417173691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN013155 (Georgia) | Primary |
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