| NPI | 1215428685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT SILVERMAN Owner 678-389-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2019-05-30 |