| NPI | 1457897928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A DAVIS Owner 770-934-2339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |