| NPI | 1255501466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW OREFFICE Vice President 770-916-5021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2014-07-15 |