NPI | 1093019978 |
---|---|
Former Legal Business Name | DR. BARRY SMITH |
Entity Type | Organization |
Authorized Contact | BARRY P SMITH Dentist 770-426-4188 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN010518) |
Enumeration Date | 2011-01-06 |
Last Update Date | 2012-03-15 |