NPI | 1235403700 |
---|---|
Doing Business As | MONROE SMILE CENTER |
Entity Type | Organization |
Authorized Contact | HYUN W. PARK General Dentistry 770-207-0008 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: GA DN012810) |
Enumeration Date | 2012-03-01 |
Last Update Date | 2012-03-01 |