| NPI | 1619751708 |
|---|---|
| Doing Business As | ATHENS DENTAL DESIGN |
| Entity Type | Organization |
| Authorized Contact | KEVIN LACOUR Dentist/Owner 678-654-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |