| NPI | 1366754376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS D JOHNSON President 404-432-5059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013366) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2010-07-07 |