| NPI | 1144674714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CAUGHEY President 770-393-9201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 012227) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |