DR. Mukti Gunvant Prema, DDS
NPI #1306414537 in Loganville, Georgia
Provider Information
- NPI Number
- 1306414537
- Entity Type
- Individual
- Name
- DR. Mukti Gunvant Prema, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DDS
- Enumeration Date
- Jun 14, 2021
- Last Updated
- Jul 26, 2023
Practice Location
- Address
- 2101 BAKER CARTER DR STE 200
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-7466
- Phone
- (678) 661-5161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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