| NPI | 1528399391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETANKUMAR G PATEL President 404-841-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012835) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |