| NPI | 1548773773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAVEEN REDDY GUDIPATI Owner Dentist 770-205-0466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DNO13554) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2025-05-12 |