NPI | 1982236196 |
---|---|
Doing Business As | DULUTH DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | MALISSA N GIANFALA Office Manager 770-377-0472 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-02-05 |
Last Update Date | 2021-10-13 |