| NPI | 1699299545 |
|---|---|
| Former Legal Business Name | GREENCASTLE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANGELA HOLLY COPE Front Office 770-486-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-09 |