| NPI | 1619638814 |
|---|---|
| Doing Business As | CENTER FOR COSMETIC AND SEDATION DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DONNA TIDWELL Insurance Manager 770-995-1957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2023-03-06 |