Organization
HIRAM CENTER FOR FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARHAD FRANK FARAHANINIA D.M.D (OWNER/DENTIST)
(404) 723-8396
Entity
Organization
Contact information
Practice address
4374 ATLANTA HWY STE 109, HIRAM, GA 30141-1849
(770) 505-9898
(404) 393-1154
Mailing address
4374 ATLANTA HWY STE 109, HIRAM, GA 30141-1849
(770) 505-9898
(404) 393-1154
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013474
GA
122300000X
Dentist
DN013699
GA
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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