| NPI | 1205220811 |
|---|---|
| Doing Business As | JONES BRIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DR. LEONID YELIZAROV Owner 770-772-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |