| NPI | 1407363963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATINA SATTERFIELD Regional Manager 770-651-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |