| NPI | 1568684025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO MONTES DE OCA President 404-636-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN011378) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2011-09-30 |