| NPI | 1407039803 |
|---|---|
| Doing Business As | ATLANTA CENTER FOR COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DEBRA G KING Owner 404-847-9711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA 10490) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN010442) |
| 1223P0700X Dentist, Prosthodontics (Licence: GA DN012440) | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2014-10-02 |