| NPI | 1528500485 |
|---|---|
| Doing Business As | WHITLOCK AVENUE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MAHESHVAR PATEL Owner 770-422-5614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN014121) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |