| NPI | 1124790399 |
|---|---|
| Doing Business As | SELECT DENTAL GA |
| Entity Type | Organization |
| Authorized Contact | BRIAN SMITH CEO 470-207-3264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2026-05-21 |