| NPI | 1952543860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C MARSHALL Owner/Dentist 678-534-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: GA DN010458) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2015-11-19 |