NPI | 1396082830 |
---|---|
Doing Business As | MARIETTA DENTAL PROFESSIONALS |
Entity Type | Organization |
Authorized Contact | DIPESH PATEL President 706-409-2088 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2013-01-03 |
Last Update Date | 2014-12-10 |