| NPI | 1962666032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE HOOD Manager 770-631-7001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA AB6670283) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |