| NPI | 1326435389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN POPPLE Pediatric Dentist 470-210-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: GA DN014889) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |