| NPI | 1619374659 |
|---|---|
| Doing Business As | ATLANTA DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DEBRA JEAN BENK President 404-872-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 10515) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN014823) |
| 122300000X Dentist (Licence: GA 0121147) | |
| 122300000X Dentist (Licence: GA DN014327) | |
| 1223G0001X Dentist, General Practice (Licence: GA 014152) | |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |