| NPI | 1710418496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASHANT RUPAPARA Dentist Owner 404-431-1854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 10441) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |