| NPI | 1811193873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M PITTS President 770-432-3381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 12950) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |