NPI | 1881629392 |
---|---|
Former Legal Business Name | DRS GRUSKIN LUCAS & FERRARA PC |
Entity Type | Organization |
Authorized Contact | ERIC D FERRARA Owner 770-228-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA DN013416) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA DN012761) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2011-10-12 |