NPI | 1194026708 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANNINE BARTCH Manager 678-445-9191 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2010-11-12 |
Last Update Date | 2010-11-12 |