| NPI | 1962660183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME B DUNCAN President 770-926-6197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 7301) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |