| NPI | 1790987667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH JAMIESON Dentist 770-394-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN012732) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2012-04-17 |