| NPI | 1154868917 |
|---|---|
| Doing Business As | NORTH DECATUR DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KATIE L MCCANN Owner 678-203-3462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |