| NPI | 1023493251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. CHALEF President 404-255-7047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223E0200X Dentist, Endodontics | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |