| NPI | 1548346802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR GILCHRIST Owner 770-483-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 009729) |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2020-08-22 |