Organization
ALL ABOUT FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASOUD SARKHAIL (CFO)
(678) 238-0202
Entity
Organization
Contact information
Practice address
12186 HIGHWAY 92, SUITE 109, WOODSTOCK, GA 30188
(678) 238-0202
(678) 238-0204
Mailing address
12186 HIGHWAY 92, SUITE 109, WOODSTOCK, GA 30188
(678) 238-0202
(678) 238-0204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012042
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00898719B
—
GA
Enumeration date
10/02/2006
Last updated
08/22/2020
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