| NPI | 1013248756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD L ASARCH Owner 678-445-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA Dn014013) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |