Individual
JOHN FARID BISHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2230 ROSWELL RD, SUITE 200, MARIETTA, GA 30062-2939
(770) 977-0100
(770) 971-5144
Mailing address
2230 ROSWELL RD, SUITE 200, MARIETTA, GA 30062-2939
(770) 514-5055
(770) 420-2655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012069
GA
Other
Enumeration date
07/27/2006
Last updated
02/08/2011
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