| NPI | 1407128663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JYOTI DESH SHARMA Owner 404-433-1317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN12806) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |