| NPI | 1881868727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILKINS Administrator 770-368-9159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 11792) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |