Organization
PERFEDENT PC
Active
Other names
KIDENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFRIN MARIYAM DMD (DENTIST)
(404) 256-6400
Entity
Organization
Contact information
Practice address
5972 ROSWELL RD NE, SANDY SPRINGS, GA 30328-4908
(404) 256-6400
(404) 256-6460
Mailing address
5972 ROSWELL RD NE, SANDY SPRINGS, GA 30328-4908
(404) 256-6400
(404) 256-6460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012992
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
863488156J
—
GA
Enumeration date
05/22/2012
Last updated
05/22/2012
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