NPI | 1538356829 |
---|---|
Doing Business As | LILBURN FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | KETANKUMAR PATEL Owner 770-925-4773 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN012835) |
Enumeration Date | 2007-10-01 |
Last Update Date | 2007-10-01 |