| NPI | 1447569850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMA D EVANS President 770-945-7186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 10445) |
| Enumeration Date | 2010-10-03 |
| Last Update Date | 2010-10-03 |