| NPI | 1275254435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BROWN Insurance Coordinator 404-325-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-09-07 |