Mansouri, Michael S
Mansouri, Michael S is an individual health care provider with primary practice located at 2401 Lawrenceville Hwy Ste A , Lawrenceville GA 30044-4411. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mansouri, Michael S can be contacted via phone (770) 962-0014.Contact Information
Primary practice address
2401 Lawrenceville Hwy Ste A
Lawrenceville GA 30044-4411
Phone: (770) 962-0014
Fax: (770) 962-9886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN012848 | Georgia |
Profile Details
| NPI number | 1194862896 |
|---|---|
| LBN Legal business name | Mansouri, Michael S |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Apr 11th, 2008 - about 18 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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