| NPI | 1285887497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J KAKOS Dentist 770-992-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: GA DN008427) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |