| NPI | 1780707315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BAKER-LANDRY Office Manager 404-237-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 9557) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |