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1316780968
VILLA RICA DENTAL SMILES LLC
VILLA RICA, GA
NPI
1316780968
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Entity Type
Organization
Authorized Contact
PRAVEEN R GUDIPATI
Owner
404-966-7766
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2024-06-13
Last Update Date
2024-06-13
Business Address
VILLA RICA DENTAL SMILES LLC
600 CARROLLTON VILLA RICA HWY STE 614
VILLA RICA, GA 30180-4969
Phone number: 678-785-4644
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Mailing Address
VILLA RICA DENTAL SMILES LLC
2705 AZALEA BLUFF DR
CUMMING, GA 30041-3207
Phone number: 404-966-7766
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