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Individual

DR. HAMAD RAFIQ ISMAIL HAMAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1227 ROCKBRIDGE RD STE 300, STONE MOUNTAIN, GA 30087-3065
(770) 746-9277
Mailing address
1227 ROCKBRIDGE RD STE 300, STONE MOUNTAIN, GA 30087-3065
(724) 426-2389

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019.031991
IL
122300000X
Dentist
0401417077
VA
122300000X
Dentist
1001668
WI
1223G0001X
General Practice Dentistry
1001668
WI
1223G0001X
General Practice Dentistry
Primary
DN122591
GA

Other

Enumeration date
08/15/2017
Last updated
03/31/2022
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