| NPI | 1588053672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA COJOCARU Regional Manager 404-637-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: GA DN014448) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |