Shabana Qayyum Erattuparambil DDS

NPI 1083867493 - Dentist - 122300000X

NPI Details
NPI 1083867493
Gender Female
Enumeration Date 10/29/2008
Last Updated 04/03/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
2715 LOGANVILLE HWY
#340-3D
LOGANVILLE GA, 30052-6660, US
Phone (678) 956-1381
Fax
Business Location
2715 LOGANVILLE HWY
#340-3D
LOGANVILLE GA, 30052-6660, US
Phone (678) 956-1381
Fax
Toxanomy
Taxonomy Code 122300000X
License State Georgia
License Number DN014005
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According to our database, Dr. Shabana Qayyum Erattuparambil DDS NPI is 1083867493, taxonomy code is 122300000X and license number is DN014005, license state is located at Georgia. Shabana Qayyum Erattuparambil DDS physically located at 2715 Loganville Hwy, Loganville GA, 30052-6660. NPI Number Shabana Qayyum Erattuparambil DDS has the Individual type.

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1083867493 NPI number is provided on an as is basis without warranty of any kind. 1083867493 is maintained by the National Plan & Provider Enumeration System. The contents of Shabana Qayyum Erattuparambil DDS are for informational purposes only.