| NPI | 1477968410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA ALVAREZ-KIELY CEO 770-380-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DL011533) |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2014-06-29 |