| NPI | 1205296001 |
|---|---|
| Doing Business As | AEON MEDICAL AND DENTAL COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | PHYLLIS ROSHAN President & CEO 770-876-3954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |