| NPI | 1750556197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN RENAE RUST Office Manager 404-255-8443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN007798) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-07-08 |