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Individual

DR. SHOLEH NAMDARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4373 JIMMY LEE SMITH PKWY STE 105, HIRAM, GA 30141-2642
(678) 225-9244
Mailing address
2250 KINGS WAY APT 5, AUGUSTA, GA 30904-4494
(470) 747-9440

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122315
GA

Other

Enumeration date
06/18/2021
Last updated
06/18/2021
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