Hiram Dental Smiles

NPI #1265119192 in Hiram, Georgia

Provider Information

NPI Number: 1265119192
Entity Type: Organization
Organization Name: Hiram Dental Smiles
Primary Specialty: Dentist
Enumeration Date: Jul 3, 2023
Last Updated: Jul 3, 2023

Practice Location

Address: 1899 LAKE RD STE 220
City: Hiram
State: Georgia
ZIP Code: 30141-2293
Phone: (470) 666-2866

Authorized Official

Name: PRAVEEN R GUDIPATI, DMD
Title: DENTIST OWNER
Phone: (404) 966-7766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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