| NPI | 1023357464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY C NEWTON-BOOKER Dentist/Owner 770-932-8869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA DN012963) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2014-02-21 |