Individual
DR. MICHAEL MASOOD KIYANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5925 IRON GATE TRCE, CUMMING, GA 30040-5801
(770) 888-8834
(770) 888-8128
Mailing address
5925 IRON GATE TRCE, CUMMING, GA 30040-5801
(770) 888-8834
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011700
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
720526451A
—
GA
Enumeration date
12/27/2006
Last updated
01/17/2008
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