| NPI | 1508076464 |
|---|---|
| Doing Business As | NEW IMAGE DENTISTRY AT INMAN PARK |
| Entity Type | Organization |
| Authorized Contact | WALTER LOUIS LEEKS President 404-589-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN 13122) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |