| NPI | 1629584586 |
|---|---|
| Doing Business As | CENTERS FOR PEDIATRIC DENTAL SEDATION |
| Entity Type | Organization |
| Authorized Contact | MARCUS QURAN POLK Practice Manager 404-403-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN014185) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN013021) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN014898) | |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2018-03-17 |