| NPI | 1710216783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD DOUGLAS BOOKER Owner/Dentist 770-531-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013464) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |