Individual
DR. AZITA AGHARAHIMI MANSOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2401 LAWRENCEVILLE HWY, SUITE A, LAWRENCEVILLE, GA 30044-4411
(770) 962-1977
(770) 962-9886
Mailing address
2401 LAWRENCEVILLE HWY, SUITE A, LAWRENCEVILLE, GA 30044-4411
(770) 962-1977
(770) 962-9886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013537
GA
Other
Enumeration date
07/31/2007
Last updated
06/18/2008
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