| NPI | 1306275474 |
|---|---|
| Doing Business As | TARA BLVD FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BEHNAM YAVARI Owner 770-892-5328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA DN014345) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |