| NPI | 1538308309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD RAY ROZEMA Owner/ CEO 404-252-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DNES000136) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |