NPI | 1275907891 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY DILLON Dentist 770-435-6888 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2015-11-19 |
Last Update Date | 2016-03-09 |