| NPI | 1689118127 |
|---|---|
| Doing Business As | COWETA DENTISTRY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JENNI SNOW Credentialing Coordinator 404-410-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-16 |