| NPI | 1003278904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYANDUKHTA KALANTARI Owner 678-275-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013605) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |