NPI | 1396933792 |
---|---|
Other Name | ENDODONTICS OF ATLANTA |
Entity Type | Organization |
Authorized Contact | JEFFREY KENT WATERS Owner 678-990-8034 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA DN013125) |
Enumeration Date | 2007-10-10 |
Last Update Date | 2012-09-13 |