| NPI | 1770830689 |
|---|---|
| Former Legal Business Name | DENTFIRST LENOX BUCKHEAD |
| Entity Type | Organization |
| Authorized Contact | VALENCIA J WARNER Credentialing Specialist 770-446-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA 7981) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |