| NPI | 1881865434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLINE MAXWELL Office Manager 770-923-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN10597) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-07-07 |