NPI | 1306060595 |
---|---|
Doing Business As | CHAMBLEE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | MEHRON HAIDARI President 770-451-0451 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN012920) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |