| NPI | 1003924788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN HOY Chief Operating Officer 770-483-9692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2011-01-04 |