Reza Miremami

NPI 1164533550 - Dentist - 1223G0001X

NPI Details
NPI 1164533550
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3709 NEW MACLAND RD
SUITE 210
POWDER SPRINGS GA, 30127-1966, US
Phone (770) 222-3300
Fax
Business Location
2502 N ROCKY POINT DR
SUITE 1000-CREDENTIALING
TAMPA FL, 33607-1421, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number DN012283
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According to our database, Reza Miremami NPI is 1164533550, taxonomy code is 1223G0001X and license number is DN012283, license state is located at Georgia. Reza Miremami physically located at 3709 New Macland Rd, Powder Springs GA, 30127-1966. NPI Number Reza Miremami has the Individual type.

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1164533550 NPI number is provided on an as is basis without warranty of any kind. 1164533550 is maintained by the National Plan & Provider Enumeration System. The contents of Reza Miremami are for informational purposes only.