| NPI | 1578317673 |
|---|---|
| Doing Business As | SUPERIOR DENTAL OF EAST COBB |
| Entity Type | Organization |
| Authorized Contact | RONALD EDWARD DURIE Owner 678-480-7292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |