| NPI | 1386810836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI SPENCE Office Manager 404-261-3091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA DN012454) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |