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 |