NPI | 1184991887 |
---|---|
Entity Type | Organization |
Authorized Contact | VINAMRA BHASIN Member 478-923-0232 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: GA 7417) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: GA DN 013545) |
Enumeration Date | 2011-11-23 |
Last Update Date | 2011-11-23 |