| NPI | 1265775258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P GALE Dentist 706-548-3279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: GA DN011333) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |