| NPI | 1205055548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN PAUL SWORDS CEO 706-324-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 011573) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |