NPI | 1104248137 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLISE M CALLOWAY Owner/Orthodontist 678-418-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA 012709) |
Enumeration Date | 2014-01-10 |
Last Update Date | 2014-01-10 |