NPI | 1154589265 |
---|---|
Former Legal Business Name | ROTS DENTAL CENTER, PC |
Entity Type | Organization |
Authorized Contact | OLANREWAJU OLUWAROTIMI ROTOWA Owner 706-625-8151 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: GA DN013409) |
Enumeration Date | 2008-05-26 |
Last Update Date | 2008-05-26 |