| NPI | 1346582566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANE S REYNOLDS General Dentist 770-253-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN013488) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |