| 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 |