NPI 1003679739
L R Smiles of Marietta, LLC
Practice location
- Address
- 3698 Largent Way Suite 202, Marietta, GA 30064
- Phone
- (770) 423-4900
Authorised official
- Name
- Neralagadde S Prasad
- Title
- Member
- Phone
- (734) 644-7377
Registered specialties
Dental Clinic/Center
Primary
Registry record
- NPI
- 1003679739
- Entity type
- Organization
- NPI issued
- 5 Feb 2024
- Record last updated
- 5 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.