Individual
DR. ASFAW AMBAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3650 MARKETPLACE BLVD STE 920, EAST POINT, GA 30344-5742
(678) 515-0746
(470) 355-2166
Mailing address
4145 LAWRENCEVILLE HWY NW, STE 15, LILBURN, GA 30047-2807
(678) 515-0746
(470) 355-2166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015057
GA
Other
Enumeration date
07/27/2015
Last updated
12/01/2022
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