| NPI | 1972869998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHAD NIA Owner/Dentist 404-733-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |