NPI | 1396969721 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS J. DEUCHAR J DEUCHAR Owner 770-792-9190 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN011540) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2020-08-22 |