Individual
DR. SHABANA QAYYUM ERATTUPARAMBIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2715 LOGANVILLE HWY, #340-3D, LOGANVILLE, GA 30052-6660
(678) 956-1381
Mailing address
2715 LOGANVILLE HWY, #340-3D, LOGANVILLE, GA 30052-6660
(678) 956-1381
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014005
GA
Other
Enumeration date
10/29/2008
Last updated
04/03/2013
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