| NPI | 1518102961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MICHAEL CAMPBELL President 770-266-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012764) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |