| NPI | 1376930644 |
|---|---|
| Doing Business As | LIFETIME DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DONNA PHILLIPS Practice Manager 770-674-0226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN01285) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2016-01-25 |