NPI | 1699882407 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE W. PLUNKETT President 770-452-0222 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN008445) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2014-09-24 |