Individual
POURIA FARHADI AMIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2607 GILLIONVILLE RD, ALBANY, GA 31707-3003
(229) 883-9001
Mailing address
1600 FORT BENNING RD, COLUMBUS, GA 31903-2834
(706) 322-9599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122777
GA
Other
Enumeration date
05/20/2022
Last updated
09/25/2023
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