| NPI | 1639374309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEME CUNNINGHAM Office Manager 404-577-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA 009327) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |