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Organization

A TO Z PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ZEYAD TALAAT HASSAN D.M.D, M.S. (PRESIDENT)
(404) 992-0500
Entity
Organization

Contact information

Practice address
857 COLLIER RD NW, SUITE 3, ATLANTA, GA 30318-2532
(404) 992-0500
Mailing address
857 COLLIER RD NW, SUITE 3, ATLANTA, GA 30318-2532
(404) 992-0500

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DN014098
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003119343P
GA
Enumeration date
08/23/2013
Last updated
08/23/2013
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