| NPI | 1699589994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXWELL JANI Sr. Director Of Efficiency Services 678-761-5947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |