| NPI | 1194974097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA N CAREYLETT Owner 770-972-7214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN011916) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |