| NPI | 1265921837 |
|---|---|
| Doing Business As | SOUTH GEORGIA PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | WENDY DAVIS Office Manager 229-247-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: GA DN014813) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |