Organization
BROOKHAVEN FAMILY DENTISTRY, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW KOKABI DMD (OWNER)
(770) 921-9059
Entity
Organization
Contact information
Practice address
3528 ASHFORD DUNWOODY RD NE, ATLANTA, GA 30319-2002
(770) 451-0611
Mailing address
3528 ASHFORD DUNWOODY RD NE, ATLANTA, GA 30319-2002
(770) 451-0611
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2009
Last updated
03/01/2009
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