| NPI | 1336428135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI OBEID Owner 678-256-6304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 20110529628) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |