Individual
SHIVA HEJAZI-WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12385 CRABAPPLE RD STE 100, ALPHARETTA, GA 30004-6357
(770) 744-5595
Mailing address
121 ESTATES AT THE LAKE DR, CANTON, GA 30114-8839
(678) 756-2726
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN011904
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076615100
—
FL
05
—
251792005F
—
GA
Enumeration date
01/04/2007
Last updated
03/15/2024
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