NPI | 1366549875 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN JOHN DOWD VP 770-446-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223P0300X Dentist, Periodontics |
1223P0700X Dentist, Prosthodontics | |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
Enumeration Date | 2006-09-19 |
Last Update Date | 2020-08-22 |