Individual
DR. SHIVA TALEBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6667 VERNON WOODS DR NE, STE B30, SANDY SPRINGS, GA 30328-3213
(404) 666-8066
Mailing address
6667 VERNON WOODS DR NE, STE B30, SANDY SPRINGS, GA 30328-3213
(404) 666-8066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN015856
GA
1223G0001X
General Practice Dentistry
Primary
DN015856
GA
Other
Enumeration date
08/30/2019
Last updated
07/30/2024
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