| NPI | 1184899833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A WILKINS Administrator 404-292-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA 11792) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |