Lake Lanier Smiles

NPI #1235589995 in Buford, Georgia

Provider Information

NPI Number
1235589995
Entity Type
Organization
Organization Name
Lake Lanier Smiles
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 14, 2016
Last Updated
May 12, 2025

Practice Location

Address
4965 LANIER ISLANDS PKWY
Address 2
SUITE 105
City
Buford
State
Georgia
ZIP Code
30518-1700
Phone
(770) 831-0559

Authorized Official

Name
PRAVEEN REDDY GUDIPATI
Title
DENTIST OWNER
Phone
(770) 205-0466

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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