| NPI | 1124295613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HAMPTON TAYLOR Dentist 770-973-7687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN0009663) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |