NPI | 1871682328 |
---|---|
Entity Type | Organization |
Authorized Contact | TU TRAN President 770-916-5028 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Additional Taxonomies | 1223E0200X Dentist Endodontics |
1223S0112X Dentist Oral and Maxillofacial Surgery | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2014-12-18 |