| NPI | 1912342122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD HUSAN ALBZREH Dmd 770-973-9765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 126800000X Dental Assistant |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |