| NPI | 1922380633 |
|---|---|
| Doing Business As | GWINNETT PLACE DENTAL |
| Entity Type | Organization |
| Authorized Contact | FABIOLA PALACIOS-BARRIONUEVO Member 770-842-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN014333) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |