| NPI | 1205957644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M SKAFIDAS President Owner 404-261-2811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA 10460) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |