| NPI | 1497928063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE DENISE GREENE President 404-915-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 011973) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-04-03 |