Provider Demographics
NPI:1265682934
Name:KATARIA, NALINI (DMD)
Entity Type:Individual
Prefix:DR
First Name:NALINI
Middle Name:
Last Name:KATARIA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:NALINI
Other - Middle Name:
Other - Last Name:HARDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9410 WILLEO RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-5084
Mailing Address - Country:US
Mailing Address - Phone:770-993-2657
Mailing Address - Fax:770-998-2512
Practice Address - Street 1:9410 WILLEO RD
Practice Address - Street 2:SUITE A
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-5084
Practice Address - Country:US
Practice Address - Phone:770-993-2657
Practice Address - Fax:770-998-2512
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0138111223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice