| NPI | 1164619599 |
|---|---|
| Doing Business As | WEST ATLANTA ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | RICHARD W. KINSEY Sec Treas. 770-949-3797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA 9063) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |