| NPI | 1104206713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH UNDERWOOD BENNETT Dentist/Owner 478-957-2486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN014540) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2019-11-26 |