| NPI | 1225399082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY AHN Office Manager 770-814-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 012497) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA 013551) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |