| NPI | 1801068754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. RENA OWSLEY-BROWN Dentist/Owner 770-461-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DNO12893) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |