| NPI | 1588426985 |
|---|---|
| Former Legal Business Name | NEW SMILES OF DECATUR |
| Entity Type | Organization |
| Authorized Contact | DEBRA LEE Office Manager 770-593-3426 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |