NPI | 1962507004 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL SZIKMAN President 770-952-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 8812) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2008-08-01 |