| NPI | 1629390042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAXTER THOMAS BENDER President 404-846-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN0010387) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |