NPI | 1306056601 |
---|---|
Doing Business As | JOHN M DORIS, D.D.S.,P.A. |
Entity Type | Organization |
Authorized Contact | JOHN MARVIN DORIS President 770-977-8644 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN007157) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-08-22 |