| NPI | 1073012639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDEEP SINGH BHULLAR President 770-728-8072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: GA DN012628) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |