| NPI | 1356749964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIYA MADHIWALA Dentist/Owner 678-352-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN014199) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-22 |