| NPI | 1679977656 |
|---|---|
| Doing Business As | GWINNETT DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | MILTON FOREST BUTLER Owner 770-921-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: GA 7999) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |