Provider Demographics
NPI:1750607024
Name:ATTIA, ROBERT SAFWAT (DMD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:SAFWAT
Last Name:ATTIA
Suffix:
Gender:M
Credentials:DMD
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Other - Credentials:
Mailing Address - Street 1:1150 GRIMES BRIDGE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-3988
Mailing Address - Country:US
Mailing Address - Phone:770-992-4844
Mailing Address - Fax:770-641-1511
Practice Address - Street 1:1150 GRIMES BRIDGE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-3988
Practice Address - Country:US
Practice Address - Phone:770-992-4844
Practice Address - Fax:770-641-1511
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2014-08-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GADN0147271223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery