| NPI | 1144589326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE FINK Office Manager 770-331-1092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2024-11-18 |