| NPI | 1750742466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD E LEWIS General Dentist 770-949-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN006770) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |