Individual
FARSHID HAMIDI NIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
150 PROMINENCE POINT PKWY, SUITE- 500, CANTON, GA 30114-9108
(770) 479-9999
(770) 479-9990
Mailing address
150 PROMINENCE POINT PKWY, SUITE- 500, CANTON, GA 30114-9108
(770) 479-9999
(770) 479-9990
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN013593
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336497403
NIA DENTISTRY LLC
GA
Enumeration date
07/03/2007
Last updated
08/14/2013
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