| NPI | 1174877237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABTIN SHAHRIARI Partial Owenr 404-433-8433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN013474) |
| Enumeration Date | 2012-10-28 |
| Last Update Date | 2012-10-28 |