NPI | 1639542459 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY KUHMICHEL DIANE KUHMICHEL Co Owner 404-892-2999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA DN013687) |
Enumeration Date | 2015-11-02 |
Last Update Date | 2015-11-02 |