NPI | 1396939427 |
---|---|
Entity Type | Organization |
Authorized Contact | CHI TRUC HUYNH Dentist 678-422-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: GA 011920) |
Additional Taxonomies | 122300000X Dentist (Licence: GA 011936) |
Enumeration Date | 2007-08-31 |
Last Update Date | 2007-08-31 |