Individual
DR. ERROL FORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6690 ROSWELL RD NE, SUITE 530, ATLANTA, GA 30328-3161
(404) 256-6474
(404) 303-7395
Mailing address
6690 ROSWELL RD NE, SUITE 530, ATLANTA, GA 30328-3161
(404) 256-6474
(404) 303-7395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011192
GA
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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