| 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 |