| NPI | 1770970915 |
|---|---|
| Doing Business As | WESTSIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHERRYL ANN ODONNELL Mgr 770-499-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA 71012) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |