Individual
MR. KAZEM SADATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
28 BUTLER AVE, MIDWAY, GA 31320-4294
(912) 880-2288
(912) 880-2110
Mailing address
28 BUTLER AVE, MIDWAY, GA 31320-4294
(912) 880-2288
(912) 880-2110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN014358
GA
1223G0001X
General Practice Dentistry
Primary
DN014358
GA
Other
Enumeration date
12/29/2013
Last updated
12/29/2013
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