NPI | 1740033711 |
---|---|
Entity Type | Organization |
Authorized Contact | TRAVIS JAMES FIEGLE President 404-295-5811 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2024-04-09 |
Last Update Date | 2024-04-09 |