Individual
KHAIM KALANTAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1096 ALPHARETTA ST, ROSWELL, GA 30075
(770) 993-9048
Mailing address
1096 ALPHARETTA ST, ROSWELL, GA 30075
(770) 993-9048
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
012445
GA
Other
Enumeration date
04/17/2007
Last updated
03/18/2008
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