| NPI | 1891239919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUCHIR PATEL Orthodontist 770-460-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN04542) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |