| NPI | 1548417314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY NATHAN BYRD President/Owner 770-777-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA GA-012070) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-10-16 |