| NPI | 1013188929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HARMON Dentist 706-355-3109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN013062) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |