| NPI | 1720281108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER T BELL Owner President 770-433-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 9137) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-19 |