NPI | 1104384197 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIE D LAWRENCE Corporate Operations Coordinator 912-920-5577 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-03-08 |
Last Update Date | 2019-06-11 |