NPI | 1003212259 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANETTE M YOUNG Owner/Dentist 678-355-0222 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN014390) |
Enumeration Date | 2014-11-17 |
Last Update Date | 2014-11-17 |