NPI 1073944997

Cosmetic Family & Implant Dentistry of Atlanta

Organisation Point of Service Atlanta, GA

Practice location

Address: 3350 Riverwood Pkwy SE Suite 2120, Atlanta, GA 30339-6401
Phone: (770) 955-2505
Fax: (770) 953-4011

Authorised official

Name: Michael S Mansouri
Title: Dentist/Owner
Phone: (267) 441-2565

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence DN012848 (GA)

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Registry record

NPI: 1073944997
Entity type: Organization
NPI issued: 3 Dec 2013
Record last updated: 3 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.