| NPI | 1104128263 |
|---|---|
| Doing Business As | SOUTH GEORGIA PEDIATRIC DENITSTRY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH C POWELL Owner/Dentist 229-247-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: GA DN014976) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2016-02-01 |