| NPI | 1649409848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT NGUYEN President 770-986-8985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN011368) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |