| NPI | 1164744157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECOLIA LAVONT STEELE Owner 770-592-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN009205) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |