| NPI | 1558486761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOBIN BARRETT TROTTER Orthodontist 706-860-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA 7979) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |