| NPI | 1780855973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARAYANA BHAT Owner/Member 678-289-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012939) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN012940) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2012-07-10 |