NPI | 1578940904 |
---|---|
Doing Business As | MILTON DENTAL SPECIALISTS |
Entity Type | Organization |
Authorized Contact | JUSTIN CHONG Owner 404-512-9355 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN014085) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN013923) | |
Enumeration Date | 2015-05-06 |
Last Update Date | 2015-05-06 |