| NPI | 1205230976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKESH TALANKI General Manager 678-562-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA DN013589) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |