Organization · Type 2 NPI
Pavan Putra Sa
Dental Clinic/Center · Rome, GA
NPI number
1326936469
Active
Practice location
319 Redmond Rd NW
Rome, GA 30165-1539
Mailing address
2788 Stone Hall Dr
Marietta, GA 30062-5061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Rome
About NPI 1326936469
Pavan Putra Sa's National Provider Identifier is 1326936469, issued on Jun 26, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Rome, GA. The record was last updated on Jun 26, 2025.