| NPI | 1104451160 |
|---|---|
| Doing Business As | SNO DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID L WITT Dentist 678-905-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |