| NPI | 1548731243 |
|---|---|
| Doing Business As | HWY 30 FAMILY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRIJESH PATEL Member 678-735-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2022-10-21 |