| NPI | 1285279836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SIMS Credentialing Coordinator 470-552-1823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |