NPI | 1821430679 |
---|---|
Entity Type | Organization |
Authorized Contact | ARISTO SHYN President 770-448-1977 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN014515) |
Enumeration Date | 2013-07-22 |
Last Update Date | 2022-01-02 |