| NPI | 1164533840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. WALKER LOVE President 770-399-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN11878) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |