NPI | 1174794002 |
---|---|
Doing Business As | NORTH GEORGIA ENDODONTIC SPECIALISTS |
Entity Type | Organization |
Authorized Contact | LES HALE KRAVITZ President 770-232-5112 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: GA 10636) |
Enumeration Date | 2008-03-19 |
Last Update Date | 2008-06-20 |