| NPI | 1508038076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN J SOLANO President 678-325-3970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2024-02-12 |