Organization
GREATER ATLANTA ORAL FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABTIN SHAHRIARI DMD, MPH (PARTIAL OWENR)
(404) 433-8433
Entity
Organization
Contact information
Practice address
425 PEACHTREE PKWY, CUMMING, GA 30041-7236
(404) 433-8433
Mailing address
PO BOX 18856, ATLANTA, GA 31126-0856
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN013474
GA
Other
Enumeration date
10/28/2012
Last updated
10/28/2012
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