| NPI | 1700058302 |
|---|---|
| Other Name | CANTON OFFICE |
| Entity Type | Organization |
| Authorized Contact | RICHARDSON MICHAEL ODUM President 678-493-6693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA 10232, 10416) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |