NPI | 1497512263 |
---|---|
Former Legal Business Name | JESSY KOSHY BDS DMD PC |
Entity Type | Organization |
Authorized Contact | JESSY KOSHY Dentist 770-993-7947 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2024-02-28 |
Last Update Date | 2024-02-28 |