| NPI | 1235875295 |
|---|---|
| Doing Business As | GWINNETT DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | LONG PHUNG Owner Dentist 678-520-7534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |