| NPI | 1730570185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGLEA SLONE RASMUSSEN Owner 770-495-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN011450) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |