| NPI | 1831221712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD STEVE WOODALL Dentist 770-459-5197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN008240) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |