Individual
ABBOSS SHARIFZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4090 JILES RD NW, KENNESAW, GA 30144-1105
(217) 540-5100
Mailing address
4090 JILES RD NW, KENNESAW, GA 30144-1105
(217) 540-5100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN016087
GA
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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