Woodstock Dentist LLC

NPI #1316701493 in Woodstock, Georgia

Provider Information

NPI Number
1316701493
Entity Type
Organization
Organization Name
Woodstock Dentist LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 9, 2024
Last Updated
Mar 14, 2024

Practice Location

Address
8294 HIGHWAY 92 STE 200
State
Georgia
ZIP Code
30189-3672
Phone
(678) 483-5999

Authorized Official

Name
DR. PRAVEEN R GUDIPATI, DMD
Title
OWNER
Phone
(404) 966-7766

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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