| NPI | 1194471474 |
|---|---|
| Doing Business As | AWESOME DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID DAN HANNA Owner 678-386-9817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-02-25 |