| NPI | 1316481302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEN CHEN Doctor/Dentist 706-336-8318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN015273) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |