| NPI | 1689731457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M JOINER Manager Treasure 770-887-2915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA 9257) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |