Individual
MEHTAB MANJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6292 LAWRENCEVILLE HWY, TUCKER, GA 30084-1870
(551) 996-5635
Mailing address
2914 SILVERMERE LN, DULUTH, GA 30097-4324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123245
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2022
Last updated
10/08/2023
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