| NPI | 1629406004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK ANDREW KIMMERLING Owner /Dentist 770-423-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN009687) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN013891) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |