| NPI | 1164742466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA AGUILAR Manager 404-806-1762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA 054541) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |