NPI | 1013211887 |
---|---|
Doing Business As | STOCKBRIDGE FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | COLIN E WILLIAMS Dentist 678-289-5436 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: GA DN013658) |
Enumeration Date | 2011-01-07 |
Last Update Date | 2011-01-07 |