| NPI | 1700946266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY RAE JONES Practice Administrator 404-892-3545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 7294) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-09-18 |