NPI | 1942535091 |
---|---|
Entity Type | Organization |
Authorized Contact | CASSANDRA G. BRACKETT CEO 404-289-3060 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA 0010117) |
Enumeration Date | 2009-10-07 |
Last Update Date | 2009-10-07 |