Shivani Shivkumar Mallishery

NPI #1396506192 in Austell, Georgia

Provider Information

NPI Number
1396506192
Entity Type
Individual
Name
Shivani Shivkumar Mallishery
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Enumeration Date
Jan 18, 2024
Last Updated
Jan 18, 2024

Practice Location

Address
3999 AUSTELL RD STE 211
State
Georgia
ZIP Code
30106-1144
Phone
(770) 732-3364

Specialties & Taxonomy Codes

Specialty
Dentist

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