| NPI | 1265668412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ASARCH Owner 678-445-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN013251) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |