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 |