| NPI | 1124738646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESMOND FOSTER Owner/Orthodontist 470-508-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2022-11-28 |