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Individual

FARID TOUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3845 MEDICAL PARK DR, AUSTELL, GA 30106-1109
(215) 913-8682
Mailing address
40 PEACHTREE VALLEY RD NE, APT 1724, ATLANTA, GA 30309-1411
(215) 913-8682

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013699
GA

Other

Enumeration date
03/28/2008
Last updated
10/27/2008
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