| NPI | 1154487577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN SALTER President 706-884-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 10421) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-08-20 |