| NPI | 1578098364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDDIE JAMES WAKEFIELD Owner 770-375-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2017-04-29 |
| Last Update Date | 2017-04-29 |