NPI | 1154688471 |
---|---|
Doing Business As | CONCORD DENTAL |
Entity Type | Organization |
Authorized Contact | ADRIENNE EMBRY AMMONS Dentist/Owner 678-964-2148 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013238) |
Enumeration Date | 2012-04-12 |
Last Update Date | 2012-04-12 |