NPI | 1083011654 |
---|---|
Doing Business As | AUSTELL SMILES DENTISTRY |
Entity Type | Organization |
Authorized Contact | KATIE L MCCANN Owner 770-732-3364 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-11-26 |
Last Update Date | 2014-11-26 |