| NPI | 1154598712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONA BIBBS President 770-253-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN013160) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |