| NPI | 1568947554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUYEMI WORKMAN Dentist 770-800-1044 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2020-06-26 |