| NPI | 1073067591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHUNG YOON President 706-399-7266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: GA DN015124) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |