| NPI | 1932952330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGETTE JONES BROOKS Owner 404-402-1160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |