| NPI | 1578955308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MCKOY CEO 404-696-1023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN012765) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |