| NPI | 1841454329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JEAN CHAMBERS Office M Anager 770-422-8264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN008049) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |