| NPI | 1639930118 |
|---|---|
| Doing Business As | PERIODONTAL CENTER OF GEORGIA |
| Entity Type | Organization |
| Authorized Contact | BRITTANY BENNETT Office Manager 770-922-8733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-09-09 |