NPI | 1588149256 |
---|---|
Other Name | COSMO HEALTH DENTAL |
Other Name | COSMO DENTAL |
Entity Type | Organization |
Authorized Contact | CHAIWON KIM CEO 770-446-0929 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-09-28 |
Last Update Date | 2018-09-28 |