Individual
DINA AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1365 CLIFTON,BUILDING B, ORAL AND MAXILLOFACIAL SURGERY, SUITE 2300, ATLANTA, GA 30322
(205) 566-0435
Mailing address
1258 DEKALB AVENUE NE, UNITE 108, ATLANTA, GA 30307
(470) 421-7024
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DNF000393
GA
Other
Enumeration date
08/28/2016
Last updated
11/09/2017
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