NPI | 1730691874 |
---|---|
Doing Business As | DENTISTRY AT THE MILLS |
Entity Type | Organization |
Authorized Contact | KELLIE CASTRO Owner/Dentist 678-226-9063 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN015357) |
Enumeration Date | 2017-10-30 |
Last Update Date | 2017-10-30 |