| NPI | 1588748677 |
|---|---|
| Doing Business As | PROUD SMILES DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN SAMPSON CFO & Practice Manager 404-257-0091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN010235) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-05-10 |