| NPI | 1497547806 |
|---|---|
| Other Name | POWDER SPRINGS DENTISTRY FOR KIDS, LLC |
| Entity Type | Organization |
| Authorized Contact | LA SHANDIA BROOKS CEO/Owner 678-464-3094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |