NPI | 1760745194 |
---|---|
Doing Business As | DENTAL SMILES AT DACULA |
Entity Type | Organization |
Authorized Contact | DEVANG SHAH Dentist/Owner Member 678-495-9500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN013630) |
Enumeration Date | 2012-06-20 |
Last Update Date | 2016-05-16 |