| NPI | 1043766322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN DEANNE RHINESMITH Office Manager 770-429-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA 9192) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-12-15 |