| NPI | 1841413804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMON A MEADOWS Owner Dentist 404-799-8499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA 11763) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-06-25 |