| NPI | 1912816927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISE SENDERAK Owner 770-569-3844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2026-09-04 |
| Last Update Date | 2026-09-11 |