| NPI | 1760920706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY JOSEPH POPWELL CEO 770-945-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA DN012013) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |