WOODSTOCK DENTIST LLC

WOODSTOCK, GA
NPI1316701493
Entity TypeOrganization
Authorized ContactPRAVEEN R GUDIPATI
Owner
404-966-7766
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2024-02-09
Last Update Date2024-03-14
Business Address
WOODSTOCK DENTIST LLC
8294 HIGHWAY 92 STE 200
WOODSTOCK, GA 30189-3672
Phone number: 678-483-5999
Mailing Address
WOODSTOCK DENTIST LLC
2705 AZALEA BLUFF DR
CUMMING, GA 30041-3207
Phone number: 404-966-7766
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