| NPI | 1669260642 |
|---|---|
| Doing Business As | FAMILY & COSMETIC DENTISTRY OF DECATUR |
| Entity Type | Organization |
| Authorized Contact | SHAUNA GAMMAGE President 404-805-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |