NPI | 1235302563 |
---|---|
Entity Type | Organization |
Authorized Contact | ALDOUS WILSON Owner 678-206-0199 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN011947) |
Enumeration Date | 2008-04-08 |
Last Update Date | 2008-04-08 |