| NPI | 1114198108 |
|---|---|
| Doing Business As | ATHENS FAMILY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT SAMUEL FOGG Business Manager 706-548-3279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 006805) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA 009000) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |