| NPI | 1649693177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNINE BARTCH Manager 404-389-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 4396) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |