| NPI | 1871565846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LEE COKER Chief Financial Officer 770-978-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA 9646) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2020-08-22 |