NPI | 1851729883 |
---|---|
Doing Business As | POLISH DENTAL CENTER,LLC |
Entity Type | Organization |
Authorized Contact | TIFFANY N JAMISON Owner 770-696-4144 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: GA DN014034) |
Enumeration Date | 2013-10-30 |
Last Update Date | 2013-10-30 |