| NPI | 1477814929 |
|---|---|
| Doing Business As | NORTHSIDE DENTAL PARTNERS |
| Entity Type | Organization |
| Authorized Contact | MICHELLE CHESHIRE Office Manager 770-671-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN012625) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |