| NPI | 1003047499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD O PARSONS Manager 770-963-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-03 |