NPI | 1609029701 |
---|---|
Other Name | CEDARTOWN DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | SHELIA D WILKES Office Manager 770-748-2622 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 9577) |
Enumeration Date | 2008-11-03 |
Last Update Date | 2008-11-03 |