| NPI | 1265735187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M. FRYER President / Owner 404-252-5626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: GA DNGA000057) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |