| NPI | 1528318508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDEEP SINGH BHULLAR President 770-277-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012628) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |