Individual
FARAH JIWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
427 W BANKHEAD HWY, VILLA RICA, GA 30180-1702
(770) 456-2550
Mailing address
912 MEADOWOOD LN, DOUGLASVILLE, GA 30135-8807
(205) 401-6973
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122452
GA
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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