| NPI | 1790944734 |
|---|---|
| Other Name | DENTISTRY 4 KIDS |
| Entity Type | Organization |
| Authorized Contact | DEIDE SMITH Receptionist 770-614-4678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA 9560) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA 012241) |
| 122300000X Dentist (Licence: GA DN011335) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |