Individual
NEDA RAEISIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 PLEASANT HILL RD, SUITE 200, DULUTH, GA 30096-5899
(770) 381-7878
Mailing address
2502 N ROCKY POINT DR, SUITE 1000-CREDENTIALING, TAMPA, FL 33607-1421
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013263
GA
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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