| Iface Academy | |
|
407 Bridle Path Marietta GA 30068-4911 | |
| (954) 376-2412 | |
| Not Available |
| Full Name | Iface Academy |
|---|---|
| Speciality | Dentist |
| Location | 407 Bridle Path, Marietta, Georgia |
| Authorized Official Name and Position | Shohreh Ghasemi (OWNER) |
| Authorized Official Contact | 9543762412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iface Academy 407 Bridle Path Marietta GA 30068-4911 Ph: (954) 376-2412 | Iface Academy 407 Bridle Path Marietta GA 30068-4911 Ph: (954) 376-2412 |
| NPI Number | 1902633696 |
|---|---|
| Provider Enumeration Date | 09/17/2024 |
| Last Update Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902633696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Secondary |
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