| NPI | 1316243389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER C SHATZ President 770-422-0642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: GA 10742) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: GA 11384) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |