Individual
AZITA REZAEI AMIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3290 BUFORD DR, BUFORD, GA 30519
(678) 549-3700
(678) 714-6408
Mailing address
3338 PEACHTREE RD, UNIT #3207, ATLANTA, GA 30326
(678) 480-2646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012851
GA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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