| NPI | 1861767253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON BINGHAM-SHULTZ Dentist 678-384-1787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 06110450) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |