NPI | 1528143229 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM JAMES CLINE CEO 770-382-8380 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN012007) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2008-01-04 |