| NPI | 1790898153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DAWN HARVEY-GRUNDY Dentist Owner 770-459-5778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN012657) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2012-02-27 |