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Individual

OMAR MOHAMMED SHARIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1040 EAGLES LANDING PKWY, SUITE 200, STOCKBRIDGE, GA 30281-9072
(678) 466-6830
Mailing address
1020 BRIARVISTA WAY NE, ATLANTA, GA 30329-3629
(502) 974-6494

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12010874A
IN
1223G0001X
General Practice Dentistry
8447
KY
1223G0001X
General Practice Dentistry
Primary
DN014895
GA

Other

Enumeration date
10/02/2006
Last updated
10/21/2014
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