| NPI | 1275848012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHAD FRANK FARAHANINIA Owner/Dentist 404-723-8396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN013474) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN013699) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |