| NPI | 1205306396 |
|---|---|
| Doing Business As | PASUI FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SIMS Credentialer 470-552-1823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |