| NPI | 1023327822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M NADLER Owner 770-591-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: GA 054425) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |