| NPI | 1962969634 |
|---|---|
| Doing Business As | WOOLBROOK DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID VIETH Chief Dental Officer 770-916-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 1223E0200X Dentist, Endodontics | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |