Individual
DR. WADDAH A DIAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3900 FREY RD NW, SUITE 102, KENNESAW, GA 30144-5408
(770) 426-1062
Mailing address
3900 FREY RD NW, SUITE 102, KENNESAW, GA 30144-5408
(770) 426-1062
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11344
GA
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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