Organization
BUCKHEAD COSMETIC AND FAMILY DENTISTRY LLC
Active
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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