NPI | 1417580721 |
---|---|
Entity Type | Organization |
Authorized Contact | MONICA PERKINS Credentialing Specialist 770-692-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2020-02-14 |
Last Update Date | 2020-02-14 |