| NPI | 1356665301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ASARCH Owner 678-445-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DNO11896) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2010-03-19 |