| NPI | 1346652062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON K ALLEN Pediatric Dentistry 678-813-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DNO13148) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |