| NPI | 1972232080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA MERANDI Owner 470-274-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-04-27 |