Individual
DR. RIYAZ RAZAKALI JIWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2637 N DECATUR RD, DECATUR, GA 30033-6103
(770) 651-0741
Mailing address
6371 CRESTGATE LN, TUCKER, GA 30084-8458
(404) 966-8347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015713
GA
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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