| NPI | 1194188599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WILLIAM KAUFFMAN President/Dentist 404-524-1981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA 8679) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |