Mahdavi, Brooke

Mahdavi, Brooke is an sole proprietor health care provider with primary practice located at 955 Memorial Dr Se Ste 530 , Atlanta GA 30316-1566. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Mahdavi, Brooke can be contacted via phone (770) 800-5802.

Contact Information

Primary practice address
955 Memorial Dr Se Ste 530 Atlanta GA 30316-1566
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN015346 Georgia

Profile Details

NPI number 1184283111
LBN Legal business name Mahdavi, Brooke
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2019
Last updated Mar 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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