| NPI | 1801389812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITHA R REDDY CEO/Owner 404-883-3287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012610) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |