| NPI | 1124441324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY STANLEY OPLINGER Vice President Of Operations 912-223-7228 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |