Individual
IAN R HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 12TH ST NE, ATLANTA, GA 30309-3972
(770) 525-7712
Mailing address
1030 SASHA LN, ROSWELL, GA 30075-3650
(404) 444-2135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123121
GA
Other
Enumeration date
01/12/2023
Last updated
07/14/2025
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