Individual
BASMAH AREF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8701 KNOX BRIDGE HWY, CANTON, GA 30114-4541
(770) 479-3202
Mailing address
255 SHADOWBROOK DR, ROSWELL, GA 30075-4600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123479
GA
Other
Enumeration date
06/01/2023
Last updated
07/23/2024
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