| NPI | 1497002430 |
|---|---|
| Doing Business As | VITAL SMILES GEORGIA |
| Entity Type | Organization |
| Authorized Contact | BRIAN SMITH CFO 770-231-5348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |