Individual
SUADDAH IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1015 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318-6653
(404) 523-6571
Mailing address
170 NORTHSIDE DR SW APT 202, ATLANTA, GA 30313-1391
(618) 406-2986
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123690
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/06/2024
Last updated
05/22/2025
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