| NPI | 1134502099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA J GIESLER Owner 404-262-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA 11662) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DNO14252) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-13 |