| NPI | 1982930806 |
|---|---|
| Doing Business As | FABULOUS SMILES PC |
| Entity Type | Organization |
| Authorized Contact | ALDOUS WILSON President 404-767-9356 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN011947) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |