| NPI | 1124212485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P. FOX President 706-265-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA 012474) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |