| NPI | 1407968506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A BROWN Owner/ Dentist 770-898-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 10476) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-11-24 |