| NPI | 1902966583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY BAGLEY BENSON Dentist/Manager Of Company 770-394-3114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 8836) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2013-10-24 |