NPI | 1437444510 |
---|---|
Entity Type | Organization |
Authorized Contact | JELANI T WASHINGTON Owner/Dentist 770-483-1331 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA DN013277) |
Enumeration Date | 2011-06-16 |
Last Update Date | 2011-06-16 |