| NPI | 1699914721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ZAMORA Dentist/President 770-505-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012616) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |