| NPI | 1124347711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA TADDEI SA Owner/Dentist 404-931-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24755) |
| Enumeration Date | 2010-05-23 |
| Last Update Date | 2010-05-23 |