| NPI | 1184650350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C. HAYDON President 770-992-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 10725) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-22 |