| NPI | 1275018582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CAROLINE JARRELL Pediatric Dentist 706-530-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |