| NPI | 1164449898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY R PRINSELL Oral & Maxillofacial Surgeon /Owner 770-956-9856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: GA DN 010735) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |