| NPI | 1669132833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEYTON HARRIS Owner/Orthodontist 404-902-6912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2021-12-29 |