| NPI | 1003620253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN BILODEAU Owner 404-501-7445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-02-06 |