| NPI | 1558699744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAKUNLE IBITOYE JOHNSON Dentist 404-918-5942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24029) |
| Enumeration Date | 2009-11-26 |
| Last Update Date | 2009-12-21 |