| NPI | 1063660520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY TUAN NGUYEN Dentist Owner 770-438-6993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012153) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |