| NPI | 1538506720 |
|---|---|
| Doing Business As | PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JAMES HICKS Owern/Dentist 678-822-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN013896) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |