| NPI | 1801068291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HARPER Office Manager 678-297-3992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012824) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |