| NPI | 1699836569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S. ZEMAN Doctor 770-887-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA 9671) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: AL 9671) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2017-08-18 |