| NPI | 1669355707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD MOUSAVI Orthodontist 470-756-3473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-08-08 |