| NPI | 1114086477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ERIC FOSTER Dr. 770-614-4022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012596) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-03-26 |