| NPI | 1134564560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH GASKINS Insurance Planning Director 770-692-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: DC DEN5260) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |