| NPI | 1699035345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ELIZABETH ALLEN Office Manager / Ins. Specialist 770-319-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 9493) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |