| 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 |