| NPI | 1215101597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN DWAYNE ASHFORD Owner 770-461-0400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 9996) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |