| NPI | 1154530293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LOUIS LEINGANG President 770-977-1892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 012285) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |