| NPI | 1457448987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THIEN CHI PHAM Owner 404-229-6898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012573) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |