| NPI | 1497877658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KENT PACE Dentist 770-948-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 9279) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |