Individual
DR. TASMEEM RAIDA CHOWDHURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1382 S PARK ST, CARROLLTON, GA 30117-4411
(678) 664-3260
Mailing address
100 COLUMNS DR APT 719, LITHIA SPRINGS, GA 30122-3100
(571) 294-6605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123144
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2023
Last updated
06/30/2023
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