| NPI | 1083719439 |
|---|---|
| Doing Business As | ZOOM DENTAL |
| Entity Type | Organization |
| Authorized Contact | GINGER GARDNER Manager 770-231-7657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA 009491) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |