NPI | 1619313384 |
---|---|
Entity Type | Organization |
Authorized Contact | EILEEN BUCKLE Dentist 678-982-5130 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA dn014232) |
Enumeration Date | 2013-05-21 |
Last Update Date | 2013-05-21 |