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3521 Memorial Dr Suite A Decatur GA 30032-2731 | |
| (404) 567-8485 | |
| (404) 567-8487 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 3521 Memorial Dr, Decatur, Georgia |
| Authorized Official Name and Position | Abbas Haider (OWNER) |
| Authorized Official Contact | 4045678485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3521 Memorial Dr Suite A Decatur GA 30032-2731 Ph: (404) 567-8485 | 3521 Memorial Dr Suite A Decatur GA 30032-2731 Ph: (404) 567-8485 |
| NPI Number | 1255653366 |
|---|---|
| Provider Enumeration Date | 02/17/2010 |
| Last Update Date | 02/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255653366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11863 (Georgia) | Primary |
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