| NPI | 1093990327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA DAY BRASWELL Owner 404-261-9593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN009901) |
| Enumeration Date | 2008-01-06 |
| Last Update Date | 2008-01-06 |