| NPI | 1154650083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MCARTHUR Office Manager 678-662-5795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 25056) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2009-12-24 |