| NPI | 1386193662 |
|---|---|
| Doing Business As | ALPHARETTA FAMILY & SPECIALTY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KEVIN SHORT Owner 770-781-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN015174) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN011242) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-29 |