| NPI | 1831245901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MAXTON PEHRSON President 770-346-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 011259) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |