| NPI | 1346258324 |
|---|---|
| Other Name | PROFESSIONAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | ROBIN S REICH President 770-435-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA 10035) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2023-03-07 |