| NPI | 1235638099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANINDER MARLINA MANHIANI Owner Dentist 706-564-5497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN015526) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |