Krishiva Smiles, LLC

NPI #1417497678 in Lilburn, Georgia

Provider Information

NPI Number: 1417497678
Entity Type: Organization
Organization Name: Krishiva Smiles, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 6, 2017
Last Updated: Mar 6, 2017

Practice Location

Address: 331 ARCADO RD NW
Address 2: SUITE D
City: Lilburn
State: Georgia
ZIP Code: 30047-3077
Phone: (770) 557-0788

Authorized Official

Name: JALPA DAVE, DMD
Title: OWNER
Phone: (770) 557-0788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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