| NPI | 1881668762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZALE HARLAN SMILACK Pres 770-396-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA 6913) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-08-22 |