| NPI | 1033589734 |
|---|---|
| Doing Business As | IRISH ROAD DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN WILTZ President 770-916-5031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223E0200X Dentist Endodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |