| NPI | 1588876494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B WHITESELL President 770-993-9521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 9605) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |