NPI | 1164815254 |
---|---|
Entity Type | Organization |
Authorized Contact | CHANDA GORDON CEO/ Dentist 404-349-7730 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA 1501026531) |
Enumeration Date | 2015-03-12 |
Last Update Date | 2015-03-12 |