| NPI | 1710003488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ALAN HESTER President 770-422-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 11090) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |