| NPI | 1487863429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SMALLWOOD Office Manager 770-995-1957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN010916) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-09-30 |