| NPI | 1568636405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHANT NATH Owner/Dentist 678-763-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA dn013057) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |