| 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 |