| Nia Pediatric Dentistry And Family Orthopedics | |
|
150 Prominence Point Pkwy Suite 500 Canton GA 30114-9108 | |
| (770) 479-9999 | |
| (770) 479-9990 |
| Full Name | Nia Pediatric Dentistry And Family Orthopedics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 150 Prominence Point Pkwy, Canton, Georgia |
| Authorized Official Name and Position | Farshid Hamidi Nia (ORTHODONTICS/OWNER) |
| Authorized Official Contact | 7704799999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nia Pediatric Dentistry And Family Orthopedics 150 Prominence Point Pkwy Suite 500 Canton GA 30114-9108 Ph: (770) 479-9999 | Nia Pediatric Dentistry And Family Orthopedics 150 Prominence Point Pkwy Suite 500 Canton GA 30114-9108 Ph: (770) 479-9999 |
| NPI Number | 1336497403 |
|---|---|
| Provider Enumeration Date | 08/21/2012 |
| Last Update Date | 08/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336497403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN013543 (Georgia) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN013593 (Georgia) | Secondary |
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