| NPI | 1114014719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TU TRAN President 770-916-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2019-03-19 |