| NPI | 1104250331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN MILLER Owner/Pediatric Dentist 770-784-7099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN013969) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |