| NPI | 1033630975 |
|---|---|
| Doing Business As | PAINLESS DENTISTRY IV PC |
| Entity Type | Organization |
| Authorized Contact | MARTHA J HARP Director Of Insurance Operations 678-372-7358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901013819) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-06-30 |