| NPI | 1720209265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BURNETT SILLIMAN Co Owner 770-920-8067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 10932) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-06-18 |