| NPI | 1154576742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA MARIA CORREA General Dentist 678-665-1643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23535) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |