| NPI | 1841404639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M. MASTRO Dentist 770-642-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 8061) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |