| NPI | 1104167865 |
|---|---|
| Doing Business As | GWINNETT FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CARLOS FERNANDO BARRIONUEVO CEO 770-921-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |