| NPI | 1952540411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTYE G CULVER Practice Administrator 404-761-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 13196) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-02-06 |