| NPI | 1285770701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA EWOMACK Office Mangager 770-638-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012698) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-08-13 |