| NPI | 1780720169 |
|---|---|
| Doing Business As | GA DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | EUGENE WITKIN Owner 770-433-2414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN009491) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |