NPI | 1043571672 |
---|---|
Doing Business As | HEART OF VININGS DENTISTRY |
Entity Type | Organization |
Authorized Contact | HAROLD PEREZ Owner 678-355-8980 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN12114) |
Enumeration Date | 2012-05-30 |
Last Update Date | 2012-05-30 |