NPI | 1154512911 |
---|---|
Doing Business As | WOODSTOCK FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | IAN STURN Co Owner 770-517-2688 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 11307) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2007-08-07 |