Individual
DR. BOBAN FIDANOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1150 WHITLOCK AVE NW, MARIETTA, GA 30064-1933
(770) 338-3389
Mailing address
1150 WHITLOCK AVE NW, MARIETTA, GA 30064-1933
(770) 338-3389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015383
GA
Other
Enumeration date
07/15/2017
Last updated
01/27/2020
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