| NPI | 1003984055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET S HARTWIG President 478-953-0903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA GA10847) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL FL11606) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2012-05-21 |