| NPI | 1063164358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUYEMI WORKMAN Owner Dentist 678-528-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 261QS1200X Clinic/Center Sleep Disorder Diagnostic |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-01-19 |