| NPI | 1124470257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS SINGLETON Orthodontist 770-974-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DNO12705) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DNO13950) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |