Organization
NIA DENTISTRY LLC
Active
Other names
Nia Pediatric Dentistry and Family Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARSHID HAMIDI NIA DMD, MSD (ORTHODONTICS/OWNER)
(770) 479-9999
Entity
Organization
Contact information
Practice address
150 PROMINENCE POINT PKWY, SUITE 500, CANTON, GA 30114-9108
(770) 479-9999
(770) 479-9990
Mailing address
150 PROMINENCE POINT PKWY, SUITE 500, CANTON, GA 30114-9108
(770) 479-9999
(770) 479-9990
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN013543
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN013593
GA
Other
Enumeration date
08/21/2012
Last updated
08/14/2013
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