NPI | 1144660283 |
---|---|
Doing Business As | GORDON FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | FELECIA BRYANT Ofc Manager 404-486-7661 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: GA DN009248) |
Enumeration Date | 2013-07-03 |
Last Update Date | 2013-07-03 |