| NPI | 1891943346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDEEP SINGH BHULLAR President 770-718-9091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012628) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |