| NPI | 1861639304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE GRANGER Dentist/ Owner 404-513-1472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN013635) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-07-22 |