122300000X
Atlanta, GA
Specialty
122300000X
Credential
DDS
NPI
1922116755
550 Peachtree St, Atlanta, GA 30308
(404) 881-1094Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 122300000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 122300000X