NPI | 1962616714 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES A STANSBURY President 404-252-5252 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 8387) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2020-08-22 |