| NPI | 1578665881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY A KENDRICK Dentist 770-460-9795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA 7335) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-08-22 |