NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1528107943 |   |   |   | STOCKBRIDGE DENTAL GROUP | 330 CORPORATE CENTER CT | STOCKBRIDGE | GA | 302816360 |
1164622635 | KIM | SORA |   |   | 330 CORPORATE CENTER CT | STOCKBRIDGE | GA | 302816360 |