NPI | 1598173049 |
---|---|
Entity Type | Organization |
Authorized Contact | SUZANNE REYNAUD KING Managing Member 404-233-1972 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2014-07-29 |
Last Update Date | 2014-07-29 |