| NPI | 1104381359 |
|---|---|
| Doing Business As | ENCORE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ADRIANA CASTIBLANCO SHOREY Dentist 770-977-0977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |