Individual
ANASTASIYA BADZIAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4125 GEORGE BUSBEE PKWY NW, KENNESAW, GA 30144-7107
(347) 217-1051
Mailing address
4501 CIRCLE 75 PKWY SE APT 1413, ATLANTA, GA 30339-4280
(347) 217-1051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS043060
PA
1223P0300X
Periodontics
Primary
DN123012
GA
Other
Enumeration date
07/09/2021
Last updated
11/21/2023
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