| NPI | 1396011664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PHILLIP RESUTA Business Owner 404-351-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DNO12695) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |