| NPI | 1356793962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA ADKINS Dentist 770-957-5214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013121) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |