| NPI | 1578441408 |
|---|---|
| Doing Business As | STOCKBRIDGE DENTAL SMILES |
| Entity Type | Organization |
| Authorized Contact | PRAVEEN REDDY GUDIPATI Owner 770-205-0466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |