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1073838561
SUPRITI BALYAN
MARIETTA, GA
NPI
1073838561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: GA 011733)
Enumeration Date
2010-03-29
Last Update Date
2010-03-29
Business Address
-- SUPRITI BALYAN DDS
2145 ROSWELL RD SUITE 120
MARIETTA, GA 30062-0821
Phone number: 770-565-1010
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Mailing Address
-- SUPRITI BALYAN DDS
2145 ROSWELL RD SUITE 120
MARIETTA, GA 30062-0821
Phone number: 770-565-1010
Copy
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