| NPI | 1609128818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETANKUMAR G PATEL Dentist 770-931-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012835) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN012835) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |