Individual
MARYAM TABASSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
911 DULUTH HWY, STE E2, LAWRENCEVILLE, GA 30043
(678) 209-2273
(678) 209-2275
Mailing address
911 DULUTH HWY, STE E2, LAWRENCEVILLE, GA 30043
(678) 209-2273
(678) 209-2275
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DNO12412
GA
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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