| NPI | 1730348210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADESEGUN OLUSHOLA TEWOGBADE Owner 770-469-4192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN013400) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |