NPI | 1437487550 |
---|---|
Doing Business As | FAMILY DENTISTRY OF FORSYTH |
Entity Type | Organization |
Authorized Contact | LANA LVOVNA MAMUT Owner Dentist 404-579-0519 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN012943) |
Enumeration Date | 2009-12-01 |
Last Update Date | 2013-07-29 |