| NPI | 1124562335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAILZA DHAWAN SHARMA Director 706-814-3183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1855546) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |