| NPI | 1134010739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANS ALMANZAR Dentist 404-702-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-07-11 |