| NPI | 1194232892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACANDREW ROBISON Owner 404-289-6454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA DN014953) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |