| NPI | 1225269772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE CARMICHAEL Owner 404-808-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |