Individual
DR. MIRA DIORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1175 PEACHTREE ST NE, SUITE 1210, ATLANTA, GA 30361-3528
(404) 874-6464
Mailing address
943 PEACHTREE ST NE, UNIT #1010, ATLANTA, GA 30309-3936
(248) 202-0131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014769
GA
Other
Enumeration date
06/15/2012
Last updated
02/27/2015
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