Individual
FARANEH KHOTANIFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2155 POST OAK TRITT RD STE 450, MARIETTA, GA 30062-8608
(770) 971-5536
Mailing address
1348 E FLORENCE BLVD, CASA GRANDE, AZ 85122-5361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123408
GA
Other
Enumeration date
08/22/2022
Last updated
07/14/2025
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