Individual
DR. MOATAZ N ELKASRAWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Contact information
Practice address
1423 CHURCH ST, DECATUR, GA 30030-1527
(404) 902-7292
(404) 902-7291
Mailing address
1423 CHURCH ST, DECATUR, GA 30030-1527
(706) 832-5541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014547
GA
Other
Enumeration date
03/18/2013
Last updated
11/11/2025
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