| NPI | 1144568965 |
|---|---|
| Doing Business As | CAMP CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEFFREY STEPHEN BUTTS Owner 404-344-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN014167) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |