| NPI | 1730697723 |
|---|---|
| Doing Business As | AMERICAN PEDIATRIC DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SHASAN WILLIAM LIOU Manager 678-427-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN19743) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |