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Provider Information for 1306066865

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. ANJUM ULLAH DDS

Gender: FEMALE

Individual NPI: 1306066865

Calendar   Last Updated:  2010-08-04
  Certification Date: 

Details

Name Value
NPI 1306066865
Enumeration Date 2007-04-26
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 309 PIRKLE FERRY RD C-100
CUMMING, GA 30040
United States

Phone: 972-955-7962 | Fax:
View Map External Link
Primary Practice Address 309 PIRKLE FERRY RD C-100
CUMMING, GA 30040
United States

Phone: 972-955-7962 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist GA 11846