| NPI | 1003216011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD KEITH HARVEY Owner Dentist 770-343-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN014853) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |