| NPI | 1154869204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RHETT DEATON Dentist 706-498-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 8729) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |