Individual
MR. HASSAN ALI MOETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5500 LILBURN STONE MOUNTAIN ROAD, SUITE A, STONE MOUNTAIN, GA 30087
(770) 923-5500
(770) 559-9295
Mailing address
5500 A LILBURN STONE MOUNTAIN ROAD, STONE MOUNTAIN, GA 30087
(770) 923-5500
(770) 559-9295
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013813
GA
1223G0001X
General Practice Dentistry
30-021450
OH
Other
Enumeration date
11/17/2006
Last updated
12/02/2014
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