Individual
AZI SOLTANI NIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 PROMINENCE POINT PKWY, SUITE 500, CANTON, GA 30114-9108
(770) 479-9999
(770) 479-9990
Mailing address
150 PROMINENCE POINT PKWY, SUITE 500, CANTON, GA 30114-9108
(770) 479-9999
(770) 479-9990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013543
GA
Other
Enumeration date
06/27/2007
Last updated
01/04/2013
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