| NPI | 1730353426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL R CORNELL Business Owner 404-636-5646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012098) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |