| NPI | 1831426816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH WOODALL Office Manager 770-459-1956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN012989) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |