Individual
AMIR GHOREISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
907 BUFORD RD STE 100, CUMMING, GA 30041-2711
(678) 922-8282
Mailing address
6000 SUMMIT PL # 6433, ALPHARETTA, GA 30009-2565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122713
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2022
Last updated
10/28/2022
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