| NPI | 1932536661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI SPENCE Practice Manager 770-832-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN010713) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |