| NPI | 1255871992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES YANG HERR President 706-621-5448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN014226) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |