| NPI | 1245651769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRALI PROCTER Owner 404-949-9816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012374) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2013-12-31 |