| NPI | 1124248836 |
|---|---|
| Doing Business As | SUPERFRIENDLY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CATHERINE B BURKE Office Manager 706-276-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 7996) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA 011546) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |