Organization
BUCKHEAD COSMETIC AND FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAHAREH EMADZADEH NIA DMD (OWNER)
(404) 400-0400
Entity
Organization
Contact information
Practice address
316 PHARR RD NE, ATLANTA, GA 30305-2304
(404) 400-0400
(404) 393-6929
Mailing address
316 PHARR RD NE, ATLANTA, GA 30305-2304
(404) 400-0400
(404) 393-6929
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DN013675
GA
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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