| NPI | 1235495284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER C CAMPBELL Dentist/Owner 770-868-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: GA DN014117) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |