| Nirali Procter, Dmd, Llc | |
|
205 Waleska Rd Canton GA 30114-2493 | |
| (770) 479-1717 | |
| Not Available |
| Full Name | Nirali Procter, Dmd, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 205 Waleska Rd, Canton, Georgia |
| Authorized Official Name and Position | Nirali Procter (OWNER) |
| Authorized Official Contact | 4049499816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nirali Procter, Dmd, Llc 205 Waleska Rd Canton GA 30114-2493 Ph: (770) 479-1717 | Nirali Procter, Dmd, Llc 205 Waleska Rd Canton GA 30114-2493 Ph: (770) 479-1717 |
| NPI Number | 1245651769 |
|---|---|
| Provider Enumeration Date | 12/31/2013 |
| Last Update Date | 12/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245651769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012374 (Georgia) | Primary |
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