| NPI | 1598219651 |
|---|---|
| Doing Business As | EAGLES LANDING PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | RAGAN L FALER President 678-289-0382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: GA DN012726) |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2016-08-06 |