| NPI | 1528107984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM COLLETT Office Manager 404-872-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: GA 9003) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |