| NPI | 1285906099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMARIES CANDELARIO-SOTO Endodontist 770-605-6507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA DN011492) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |