| NPI | 1285800086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE WILLIAM FORD President 770-381-0703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA 9312) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |