| NPI | 1740452465 |
|---|---|
| Doing Business As | CHILDRENS DENTISTRY AT HAMILTON MILL & GAINESVILLE |
| Entity Type | Organization |
| Authorized Contact | DIANE C KELLY Owner And Provider 678-714-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: GA DNO12082) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-08-19 |