| NPI | 1699325506 |
|---|---|
| Doing Business As | DENTAL HOME @ GWINNETT PLACE |
| Entity Type | Organization |
| Authorized Contact | HEN CHEN Owner/Dentist 770-476-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |