ALI SAM AZADI

AUGUSTA, GA
NPI1124772397
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: GA  DN122696)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-02-07
Last Update Date2023-11-02
Business Address
DR. ALI SAM AZADI DMD
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912-0001
Phone number: 706-721-2371
Mailing Address
DR. ALI SAM AZADI DMD
3989 TREEMONT LN
SUWANEE, GA 30024-2363
Phone number: 404-580-8096