| NPI | 1053615542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW R ADAMS Owner 706-323-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 012383) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |