Organization
MCDONOUGH CENTER FOR FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARHAD FARAHANINIA D.M.D. (OWNER)
(678) 432-0209
Entity
Organization
Contact information
Practice address
1867 JONESBORO RD, SUITE 6, MCDONOUGH, GA 30253-6099
(678) 432-0209
Mailing address
1867 JONESBORO RD, SUITE 6, MCDONOUGH, GA 30253-6099
(678) 432-0209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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