| NPI | 1811356819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALPESHKUMAR THAKKAR Manager 404-902-5327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |