Cosmetic Family & Implant Dentistry of Atlanta

NPI #1073944997 in Atlanta, Georgia

Provider Information

NPI Number: 1073944997
Entity Type: Organization
Organization Name: Cosmetic Family & Implant Dentistry of Atlanta
Primary Specialty: Point of Service
Enumeration Date: Dec 3, 2013
Last Updated: Dec 3, 2013

Practice Location

Address: 3350 RIVERWOOD PKWY SE
Address 2: SUITE 2120
City: Atlanta
State: Georgia
ZIP Code: 30339-6401
Phone: (770) 955-2505

Authorized Official

Name: DR. MICHAEL S MANSOURI, DMD
Title: DENTIST/OWNER
Phone: (267) 441-2565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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