| NPI | 1972991248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS G. HISER Orthodontist/Owner 770-744-4581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA 011988) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |