| NPI | 1316434095 |
|---|---|
| Doing Business As | CHILDREN'S DENTISTRY OF LAWRENCEVILLE |
| Entity Type | Organization |
| Authorized Contact | ADESEGUN OLUSHOLA TEWOGBADE Pediatric Dentist/Owner 770-584-5267 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN013400) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |