| NPI | 1710048848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DERRICK SMITH President 770-429-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN009592) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |