Individual
DR. SHANNON FATEHI THORSTEINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3490 PIEDMONT RD NE STE 110, ATLANTA, GA 30305-4808
(404) 266-1300
Mailing address
3490 PIEDMONT RD NE STE 110, ATLANTA, GA 30305-4808
(404) 229-4318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014438
GA
Other
Enumeration date
03/26/2012
Last updated
06/19/2013
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