| NPI | 1609959345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM KEVIN HARMON Owner/Dentist 770-477-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 010269) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |