NPI | 1396108056 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCUS QURAN POLK Anesthesiologist 404-403-4567 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA 040758) |
Enumeration Date | 2016-03-31 |
Last Update Date | 2016-03-31 |