| NPI | 1124018759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE HEATHER COLSON HARDY Dentist/Owner 229-242-2449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012998) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2012-05-07 |