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Organization
GREATER ATLANTA ORAL FACIAL SURGERY
Active
Organization
GREATER ATLANTA ORAL FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABTIN SHAHRIARI DMD, MPH (PARTIAL OWENR)
(404) 433-8433
Entity
Organization
Contact information
Practice address
425 PEACHTREE PKWY, CUMMING, GA 30041-7236
(404) 433-8433
Mailing address
PO BOX 18856, ATLANTA, GA 31126-0856
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN013474
GA
Other
Enumeration date
10/28/2012
Last updated
10/28/2012
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