| NPI | 1609072552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE C SCHWEINEBRATEN Owner 770-446-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: GA 9006) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |