Individual
MAHER BOURBIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2900 S COBB DR SE, SMYRNA, GA 30080-7859
(678) 905-0698
Mailing address
2900 S COBB DR SE, SMYRNA, GA 30080-7859
(404) 454-1362
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00203309
CO
1223G0001X
General Practice Dentistry
Primary
DN015798
GA
Other
Enumeration date
08/11/2017
Last updated
09/23/2019
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