| NPI | 1033380605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON S EAGLIN Dentist/Owner 770-471-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA BE9572581) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-21 |