| NPI | 1164640801 |
|---|---|
| Doing Business As | VITAL SMILES GEORGIA |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL G. WALKER Collections Manager 770-367-8389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2012-07-24 |