| NPI | 1497222053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN WILMER WILLIAMS Managing Member 404-960-8208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |