| NPI | 1346344504 |
|---|---|
| Doing Business As | PRILUCK AND NORDONE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY G PRILUCK Owner President 770-393-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2008-09-11 |