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1871340935
SUADDAH IRVIN
ATLANTA, GA
NPI
1871340935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-06
Last Update Date
2024-05-06
Business Address
SUADDAH IRVIN DMD
1015 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA 30318-6653
Phone number: 404-523-6571
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Mailing Address
SUADDAH IRVIN DMD
170 NORTHSIDE DR SW APT 202
ATLANTA, GA 30313-1391
Phone number: 618-406-2986
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