| 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 |