NPI | 1780812610 |
---|---|
Entity Type | Organization |
Authorized Contact | VINAMRA BHASIN Member 478-923-0232 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: GA 7417) |
Additional Taxonomies | 122300000X Dentist (Licence: GA DN 013545) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2009-06-30 |