NPI | 1639769201 |
---|---|
Doing Business As | COLONY SQUARE DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | BENJAMIN CUTLER Secretary 404-482-2550 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
1223E0200X Dentist, Endodontics | |
1223P0300X Dentist, Periodontics | |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
Enumeration Date | 2021-01-19 |
Last Update Date | 2022-05-12 |