Anais Maria Avery

NPI #1316452030 in Hiram, Georgia

Provider Information

NPI Number: 1316452030
Entity Type: Individual
Name: Anais Maria Avery
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Dec 4, 2017
Last Updated: Dec 4, 2017

Practice Location

Address: 5218 JIMMY LEE SMITH PKWY
City: Hiram
State: Georgia
ZIP Code: 30141-2747
Phone: (770) 439-1038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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