| NPI | 1265984884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN JAY STEIN Owner 404-329-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA GA9293) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN010783) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |