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Individual

DR. BEN MIBAB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS MS

Contact information

Practice address
3005 OLD ALABAMA RD, SUITE 6000, JOHNS CREEK, GA 30022-8594
(770) 552-6800
Mailing address
3005 OLD ALABAMA RD, SUITE 6000, JOHNS CREEK, GA 30022-8594
(770) 552-6800

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
GA 10500
GA

Other

Enumeration date
11/30/2006
Last updated
02/16/2016
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