| NPI | 1619019874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN LOETSCHER President 770-729-1481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA DN010907) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |