| NPI | 1427110402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WILLIAM KING President CEO 770-952-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN006968) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN007445) |
| 122300000X Dentist (Licence: GA DN007477) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |