NPI | 1417961152 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL JACK MAHAFFEY Doctor 770-487-6439 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA 12464) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2020-08-22 |