| NPI | 1609918622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOUHANNAD BUDEIR Officer 770-888-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN013053) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |