Srr LLC

NPI #1710304373 in Woodstock, Georgia

Provider Information

NPI Number: 1710304373
Entity Type: Organization
Organization Name: Srr LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 20, 2014
Last Updated: Mar 21, 2014

Practice Location

Address: 114 MIRRAMONT LAKE DR
City: Woodstock
State: Georgia
ZIP Code: 30189-8213
Phone: (770) 592-7000

Authorized Official

Name: MRS. HIRAL ANKUR PATEL, RDH
Title: OWNER/MANAGER
Phone: (706) 346-9516

Specialties & Taxonomy Codes

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

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