| NPI | 1730589854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNINE BARTCH Manager 404-389-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401414164) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-28 |