| NPI | 1780944983 |
|---|---|
| Doing Business As | KIDENTAL |
| Entity Type | Organization |
| Authorized Contact | AFRIN MARIYAM Dentist 404-256-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012992) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |