| NPI | 1912217605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSAIN ALI KHAN Owner 404-805-2821 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 152) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |