Organization
PARKSIDE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYRUS SHOKOOHI DMD DMD (CEO)
(404) 252-4700
Entity
Organization
Contact information
Practice address
5920 ROSWELL RD STE A201, SANDY SPRINGS, GA 30328-4923
(404) 252-4700
Mailing address
5920 ROSWELL RD STE A201, SANDY SPRINGS, GA 30328-4923
(404) 252-4700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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