NPI | 1184847121 |
---|---|
Doing Business As | NORTH GWINNETT DENTAL CARE |
Entity Type | Organization |
Authorized Contact | BRIDGETT LYNN JORGENSEN President 770-932-0992 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |