| NPI | 1346652708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY K ISKOL Doctor 770-995-0538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN009877) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN014058) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |