| NPI | 1235379330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO J PAUSA Owner 678-319-9930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA 10820) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |