NPI | 1790905784 |
---|---|
Doing Business As | METRO DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | BEN B BIDGOLY Dentist 770-957-3506 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 11535) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: GA 7434) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2020-08-22 |