| NPI | 1750462347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C VASSEY Partner 770-487-5346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 8926) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |