| NPI | 1639322381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. WALKER LOVE President 770-424-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 11787) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |