| NPI | 1720133044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDE PIPPO DANIEL Owner 770-948-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN010670) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |