MUKTI GUNVANT PREMA

LOGANVILLE, GA
NPI1306414537
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: GA  DN122875)
Enumeration Date2021-06-14
Last Update Date2023-07-26
Business Address
Dr. MUKTI GUNVANT PREMA DDS
2101 BAKER CARTER DR STE 200
LOGANVILLE, GA 30052-7466
Phone number: 678-661-5161
Mailing Address
Dr. MUKTI GUNVANT PREMA DDS
5461 OAK CHASE DR
ANTIOCH, TN 37013-4250
Phone number: 615-612-8985
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