| NPI | 1871314807 |
|---|---|
| Doing Business As | PEDIATRIC DENTISTRY AT VININGS |
| Entity Type | Organization |
| Authorized Contact | FAITH BATES President/Owner 678-305-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |