Individual
DR. ELNAZ GERAILY MOGHADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
2250 MARIETTA BLVD NW STE 300, ATLANTA, GA 30318-2260
(678) 203-2307
Mailing address
2250 MARIETTA BLVD NW STE 300, ATLANTA, GA 30318-2260
(678) 203-2307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D012275
AZ
1223G0001X
General Practice Dentistry
Primary
DN124025
GA
Other
Enumeration date
08/02/2024
Last updated
02/10/2026
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