| NPI | 1942738901 |
|---|---|
| Doing Business As | WALTON CENTER FOR FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICHELLE THOMAS Credentialing Administrator 770-450-2030 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA Dn013645) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-07-14 |