Organization
ACWORTH CENTER FOR FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARHAD NIA DMD (GENERAL DENTIST/OWNER)
(770) 203-1711
Entity
Organization
Contact information
Practice address
3466 COBB PKWY, SUITE 170, ACWORTH, GA 30101
(770) 203-1711
(404) 855-4104
Mailing address
1867 JONESBORO RD, SUITE 6, MCDONOUGH, GA 30253-6099
(678) 432-0209
(404) 855-4104
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013645
GA
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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