| NPI | 1316058159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E DUBOSE Pres Owner 770-267-6822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA DN008266) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |