| NPI | 1275625519 |
|---|---|
| Former Legal Business Name | BROOKS & MADDOX FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROBERT S BROOKS President 678-583-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2016-05-24 |