| NPI | 1174629760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL K THOMASON President 706-335-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA 8152) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |