| NPI | 1407546526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE L PERRY Orthodontist 404-835-7679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-05-11 |