| NPI | 1649678921 |
|---|---|
| Doing Business As | EAST ATLANTA FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHERVIN MESHKIAN Dentist/CEO 404-688-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: GA DN012987) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |