Individual
DR. FARHAN ABBAS MOMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8709 DALLAS ACWORTH HWY, DALLAS, GA 30132-2177
(770) 693-4400
Mailing address
77 NORTON AVE, ACWORTH, GA 30101-2719
(404) 952-3956
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015960
GA
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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