KENNESTONE DENTIST LLC

MARIETTA, GA
NPI1811705130
Entity TypeOrganization
Authorized ContactPRAVEEN R GUDIPATI
Owner/Member
404-966-7766
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2024-12-19
Last Update Date2024-12-19
Business Address
KENNESTONE DENTIST LLC
598 NANCY ST NW STE 200
MARIETTA, GA 30060-1375
Phone number: 404-220-7732
Mailing Address
KENNESTONE DENTIST LLC
598 NANCY ST NW STE 200
MARIETTA, GA 30060-1375
Phone number: 404-220-7732
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