| NPI | 1790992790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE PHAM Managing Partner 770-409-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA DN011672) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |