NPI | 1396014452 |
---|---|
Entity Type | Organization |
Authorized Contact | AFSHEEN AFZAL KHAWAJA Owner/Dentist 770-214-2504 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013647) |
Enumeration Date | 2011-12-19 |
Last Update Date | 2011-12-19 |