| NPI | 1104090380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R STRAIT President 770-451-5740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA dn007649) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |