| NPI | 1750044384 |
|---|---|
| Former Legal Business Name | MICHAEL J. MAHAFFEY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MAHAFFEY Provider 770-487-6439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2021-10-21 |