| NPI | 1902338825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNA PATEL Dentist 404-429-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN014512) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: GA DN014512) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |