| NPI | 1952424665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DEWAYNE WOODS President 770-551-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA dn010466) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |