Individual
DR. MICHAEL HARLEY SEBASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MSD, PC
Contact information
Practice address
91 W WIEUCA RD NE, SUITE-300, ATLANTA, GA 30342-3248
(404) 303-7400
(404) 303-1555
Mailing address
91 W WIEUCA RD NE, SUITE-300, ATLANTA, GA 30342-3248
(404) 303-7400
(404) 303-1555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
01072
GA
Other
Enumeration date
03/19/2007
Last updated
08/31/2020
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