| NPI | 1710256706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAHA HOWARD Pediatric Dentist 678-391-7453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: GA DN013875) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |