Individual
MOHAMMED DAMERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1790 MULKEY RD STE 2, AUSTELL, GA 30106-1122
(770) 800-5500
Mailing address
1790 MULKEY RD, SUITE 2, AUSTELL, GA 30106
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN123583
GA
1223G0001X
General Practice Dentistry
30025467
OH
Other
Enumeration date
07/04/2018
Last updated
08/21/2024
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