| NPI | 1497949176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. WALKER LOVE President 404-355-4952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 11787) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |