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 |