| NPI | 1972996767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY VIJENDRA PATEL Chairman 678-793-3053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN0139923) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |