| NPI | 1720508294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA ALLEN FINKEL Chief Financial Officer 770-497-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN009042) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2019-02-20 |