| NPI | 1861708802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN S KUNIYOSHI Owner 770-272-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012933) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |