NPI | 1497894901 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL C POPE President 770-487-5540 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012203) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2020-08-22 |