Individual
DR. JINOOS FARHANG FALLAH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1816 LAKEFIELD CT SE, CONYERS, GA 30013-6609
(770) 860-8760
(678) 413-8144
Mailing address
1825 PARKER RD SE, # 1205, CONYERS, GA 30094-2603
(770) 760-7932
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012773
GA
Other
Enumeration date
01/09/2006
Last updated
07/08/2007
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