| NPI | 1265450126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A. NARDE President 706-327-3364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 011256) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA 011256) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |