| NPI | 1972800175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MAX COUCH President/ Orthodontist 770-833-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA 011895) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |