| NPI | 1528649639 |
|---|---|
| Former Legal Business Name | BUCKHEAD COSMETIC AND FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SARA GARCIA Insurance COO Rdinator 404-400-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |