NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1508398447 |   |   |   | SAGE DENTAL GROUP OF GEORGIA, LLC | 3420 BUFORD DR STE E780 | BUFORD | GA | 305198774 |
1710413661 | PARK | JUNG MIN |   |   | 2620 MOON CHASE LN | BUFORD | GA | 305195363 |