| NPI | 1063378966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WETZEL Owner/ Dentist 770-992-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2026-01-05 |
| Last Update Date | 2026-01-05 |