| NPI | 1659482891 |
|---|---|
| Doing Business As | ALLATONNA FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY FITZGERALD President 770-382-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN010780) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |