Individual
DR. ISIOMA ANIZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4825 SUGARLOAF PKWY, SUITE A, LAWRENCEVILLE, GA 30044-8800
(770) 962-4322
(678) 407-2787
Mailing address
4825 SUGARLOAF PKWY, SUITE A, LAWRENCEVILLE, GA 30044-8800
(770) 962-4322
(678) 407-2787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012239
GA
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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