| NPI | 1275556409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KEITH CRUMMEY Owner President Of Corp. 912-285-5967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA 10017) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-07-31 |