Individual
AFSHAN SYEDA SHAHANA BINTORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1235 INDIAN TRAIL LILBURN RD, SUITE# 300, NORCROSS, GA 30093-5524
(678) 735-8168
(770) 729-8262
Mailing address
6041 NORCROSS GLEN TRCE, NORCROSS, GA 30071-1811
(678) 735-8168
(770) 729-8262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN013016
GA
1223P0221X
Pediatric Dentistry
Primary
DN013016
GA
Other
Enumeration date
11/15/2006
Last updated
05/23/2016
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