| NPI | 1740560408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES L ABNEY Owner 404-321-4588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN007009) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN007063) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |