Individual
AZITA BAHRAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
76 HIGHLAND PAVILION CT SUITE 145, HIRAM, GA 30141
(770) 439-6844
(770) 439-6874
Mailing address
76 HIGHLAND PAVILION CT STE 145, HIRAM, GA 30141-3170
(770) 439-6844
(770) 439-6874
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0011387
MS
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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