| NPI | 1598080095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE GARY MAYFIELD President 770-916-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2018-09-17 |