Individual
DR. OMAR SHIRAZ DAMJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2100 RIVERSIDE PKWY, STE. 130, LAWRENCEVILLE, GA 30043-5927
(770) 995-1957
Mailing address
2100 RIVERSIDE PARKWAY, STE. 130, LAWRENCEVILLE, GA 30043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012967
GA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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