Individual
BEVERLY ZIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3509 BAKER ROAD SUITE 401, ACWORTH, GA 30101-3010
(770) 917-8943
(770) 917-8943
Mailing address
3509 BAKER ROAD SUITE 401, ACWORTH, GA 30101
(770) 917-8943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
057730
NY
1223G0001X
General Practice Dentistry
Primary
DN015283
GA
Other
Enumeration date
06/17/2013
Last updated
07/21/2022
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