Individual
FATEMEH AZADEH PAZIRAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1631 GORDON HIGHWAY, AUGUSTA SMILES YOUTH DENTISTRY, AUGUSTA, GA 30906
(706) 790-9302
Mailing address
1631 GORDON HWY STE 22, AUGUSTA SMILES YOUTH DENTISTRY, AUGUSTA, GA 30906-2230
(803) 434-6567
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8439
SC
122300000X
Dentist
Primary
DN014950
GA
Other
Enumeration date
07/29/2014
Last updated
10/06/2015
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