Individual
ASIF TAUFIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.B.A
Contact information
Practice address
15 COLLINS INDUSTRIAL WAY, SUITE B, LAWRENCEVILLE, GA 30043-5491
(770) 962-0515
(770) 962-1244
Mailing address
15 COLLINS INDUSTRIAL WAY, SUITE B, LAWRENCEVILLE, GA 30043-5491
(770) 962-0515
(770) 962-1244
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
010652
GA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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