| NPI | 1518474501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GARABADIAN Member 770-781-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN012009) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |