| NPI | 1992963086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL W CAMPBELL President 404-256-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 012250) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA 012249) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |