Individual
SEMHAR G DESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5495 OLD NATIONAL HWY, ATLANTA, GA 30349-3252
(470) 878-3550
Mailing address
879 LONGBRANCH LN, DOUGLASVILLE, GA 30134-8320
(317) 737-0529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123551
GA
Other
Enumeration date
08/13/2024
Last updated
10/17/2024
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