Provider Demographics
NPI:1689711467
Name:ZOHRA, FATIMA TUZ (BDS)
Entity type:Individual
Prefix:DR
First Name:FATIMA
Middle Name:TUZ
Last Name:ZOHRA
Suffix:
Gender:F
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 SHADY OAKS CT
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-7916
Mailing Address - Country:US
Mailing Address - Phone:706-534-2381
Mailing Address - Fax:480-626-5580
Practice Address - Street 1:1414 MARKS CHURCH RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-2430
Practice Address - Country:US
Practice Address - Phone:706-738-6735
Practice Address - Fax:706-738-2630
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0127941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice